The association between Ramadan, pre-Ramadan diabetes education (PRE) and metabolic parameters in people with type 2 diabetes: A longitudinal study using routine primary care data

IF 2.3 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-05-05 DOI:10.1016/j.pcd.2025.04.002

Siham Bouchareb , Peter P. Harms , Mohamed Hassanein , Giel Nijpels , Petra J.M. Elders

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引用次数: 0

Abstract

Aims

To assess the impact of Ramadan and pre-Ramadan diabetes education (PRE) on metabolic parameters in people with type 2 diabetes (T2D). Additionally, we described the proportion of Ramadan-related adverse events.

Methods

A retrospective longitudinal study utilising Dutch routine primary care data from 133 people with T2D who participated in a PRE session. Linear Generalized Estimating Equations models were used to assess the association of metabolic parameters with Ramadan and PRE. We analysed free-text notes and a questionnaire to identify Ramadan-related adverse events.

Results

Ramadan was associated with modest reductions in HbA1c (β −1.07 mmol/mol; p = 0.07), systolic blood pressure (β −1.89 mmHg; p = 0.04), weight (β −0.81 kg; p < 0.01), BMI (β −0.29 kg/m²; p < 0.01), and a slight increase in triglycerides (β 0.27 mmol/l; p = 0.04) compared to non-Ramadan periods. PRE demonstrated no significant impact on metabolic parameters. The number of medical notes regarding Ramadan was small, with the mentioning of some physical complaints and medication errors.

Conclusions

In our study, Ramadan is associated with temporary and marginal metabolic improvements in people with T2D. A single PRE session had no substantial impact on metabolic control. Healthcare professionals should more often discuss Ramadan and medication adjustments with their patients.

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2型糖尿病患者斋月、斋月前糖尿病教育（PRE）与代谢参数之间的关系：一项使用常规初级保健数据的纵向研究

目的：评估斋月及斋月前糖尿病教育（PRE）对2型糖尿病（T2D）患者代谢参数的影响。此外，我们描述了斋月相关不良事件的比例。方法：一项回顾性纵向研究，利用荷兰常规初级保健数据，来自133名参加PRE会议的T2D患者。使用线性广义估计方程模型评估代谢参数与斋月和PRE的关系。我们分析了自由文本注释和问卷调查，以确定斋月相关的不良事件。结果：斋月与HbA1c适度降低相关(β -1.07 mmol/mol；p = 0.07)，收缩压(β -1.89 mmHg；P = 0.04)，体重(β -0.81 kg；p 2;p 结论：在我们的研究中，斋月与T2D患者的暂时和边际代谢改善有关。单次PRE训练对代谢控制没有实质性影响。医疗保健专业人员应该更经常地与患者讨论斋月和药物调整。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.