Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism.

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM

Current diabetes reviews Pub Date : 2024-01-01 DOI:10.2174/0115733998249793231005105724

Inass Shaltout, Amr Mahmoud Abdelwahab, Amr El Meligi, Hany Hammad, Shereen Abdelghaffar, Atef Elbahry, Nasser Taha, Nehal Hamdy Elsaid, Amr Gad, Laila Hammouda, Shaymaa Abdelmaboud, Amin Roshdy Soliman

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Abstract

Background: Current international guidelines recommend a pre-Ramadan risk assessment for people with diabetes (PwDM) who plan on fasting during the Holy month. However, a comprehensive risk assessment-based recommendation for the management of PwDM intending to fast is still controversial. Therefore, the Arabic Association for the Study of Diabetes and Metabolism (AASD) developed this consensus to provide further insights into risk stratification in PwDM intending to fast during Ramadan.

Methods: The present consensus was based on the three-step modified Delphi method. The modified Delphi method is based on a series of voting rounds and in-between meetings of the expert panel to reach agreements on the statements that did not reach the consensus level during voting. The panel group comprised professors and consultants in endocrinology (both adult and pediatric). Other members included experts in the fields of cardiovascular medicine, nephrology, ophthalmology, and vascular surgery, affiliated with academic institutions in Egypt.

Result: In PwDM who intend to fast during Ramadan, risk stratification is crucial to optimize patient outcomes and prevent serious complications. The present consensus provides risk assessment of those living with diabetes according to several factors, including the type of diabetes, presence, and severity of complications, number of fasting hours, and other socioeconomic factors. According to their risk factors, patients were classified into four categories (very high, high, moderate, and low risk).

Conclusion: Future research is warranted due to the controversial literature regarding the impact of fasting on certain comorbidities.

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糖尿病患者斋月期间禁食的风险分层：阿拉伯糖尿病与代谢研究协会的共识。

背景：目前的国际指南建议对计划在圣月禁食的糖尿病患者进行斋月前的风险评估。然而，对打算禁食的普华永道管理层提出的基于全面风险评估的建议仍然存在争议。因此，阿拉伯糖尿病与代谢研究协会（AASD）制定了这一共识，以进一步深入了解打算在斋月期间禁食的PwDM的风险分层。修改后的德尔菲方法是基于一系列的投票轮次和专家小组会议之间的会议，以就投票期间未达到协商一致水平的声明达成协议。该小组由内分泌学教授和顾问组成（包括成人和儿科）。其他成员包括埃及学术机构附属的心血管医学、肾病学、眼科和血管外科领域的专家。结果：对于打算在斋月期间禁食的PwDM，风险分层对于优化患者结果和预防严重并发症至关重要。目前的共识根据几个因素对糖尿病患者进行了风险评估，包括糖尿病类型、并发症的存在和严重程度、禁食时间和其他社会经济因素。根据其风险因素，患者被分为四类（极高、高、中等和低风险）。结论：由于关于禁食对某些合并症的影响的文献存在争议，因此有必要进行未来的研究。

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

Current diabetes reviews ENDOCRINOLOGY & METABOLISM-

CiteScore

6.30

自引率

0.00%

发文量

158

期刊介绍： Current Diabetes Reviews publishes frontier reviews on all the latest advances on diabetes and its related areas e.g. pharmacology, pathogenesis, complications, epidemiology, clinical care, and therapy. The journal"s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians who are involved in the field of diabetes.