Chaima Jemai , Mariem Nouira , Yosra Htira , Zohra Hadj Ali , Faika Ben Mami
{"title":"描述突尼斯糖尿病患者斋月禁食后的临床概况、急性并发症和血糖控制情况","authors":"Chaima Jemai , Mariem Nouira , Yosra Htira , Zohra Hadj Ali , Faika Ben Mami","doi":"10.1016/j.hnm.2024.200285","DOIUrl":null,"url":null,"abstract":"<div><h3>Aims</h3><p>To assess clinical and metabolic parameters in patients with diabetes during Ramadan fasting.</p></div><div><h3>Patients and method</h3><p>It was a prospective evaluative study based in the National Institute of Nutrition of Tunis (Departement C) in a population of patients with diabetes prepared for fasting by education and therapeutic adjustment.</p></div><div><h3>Results</h3><p>140 diabetics, mainly at high and very high risk (70.7 %), were analyzed. The frequencies of hypo and hyperglycemia were 12.1 and 11.4 % respectively. The mean weight and the mean systolic and diastolic blood pressure remained stable. Fasting blood glucose and HbA1C decreased significantly (−0.7 ± 3.1 mmol/L (p = 0.009), −0.18 ± 1.1 % (p = 0.047). The mean creatinine clearance had remained stable.</p></div><div><h3>Conclusion</h3><p>Ramadan fasting can be well-tolerated, even for patients at high and very high risk, with an improvement in glycemic control, provided prior education and adequate therapeutic adjustment.</p></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"38 ","pages":"Article 200285"},"PeriodicalIF":1.9000,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666149724000471/pdfft?md5=7181051fa2e23faa734058a3c42fb0fa&pid=1-s2.0-S2666149724000471-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Description of clinical profile, acute complications and glycemic control after Ramadan fasting in a Tunisian population of patients with diabetes\",\"authors\":\"Chaima Jemai , Mariem Nouira , Yosra Htira , Zohra Hadj Ali , Faika Ben Mami\",\"doi\":\"10.1016/j.hnm.2024.200285\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aims</h3><p>To assess clinical and metabolic parameters in patients with diabetes during Ramadan fasting.</p></div><div><h3>Patients and method</h3><p>It was a prospective evaluative study based in the National Institute of Nutrition of Tunis (Departement C) in a population of patients with diabetes prepared for fasting by education and therapeutic adjustment.</p></div><div><h3>Results</h3><p>140 diabetics, mainly at high and very high risk (70.7 %), were analyzed. The frequencies of hypo and hyperglycemia were 12.1 and 11.4 % respectively. The mean weight and the mean systolic and diastolic blood pressure remained stable. Fasting blood glucose and HbA1C decreased significantly (−0.7 ± 3.1 mmol/L (p = 0.009), −0.18 ± 1.1 % (p = 0.047). The mean creatinine clearance had remained stable.</p></div><div><h3>Conclusion</h3><p>Ramadan fasting can be well-tolerated, even for patients at high and very high risk, with an improvement in glycemic control, provided prior education and adequate therapeutic adjustment.</p></div>\",\"PeriodicalId\":36125,\"journal\":{\"name\":\"Human Nutrition and Metabolism\",\"volume\":\"38 \",\"pages\":\"Article 200285\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-07-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666149724000471/pdfft?md5=7181051fa2e23faa734058a3c42fb0fa&pid=1-s2.0-S2666149724000471-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Human Nutrition and Metabolism\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666149724000471\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Human Nutrition and Metabolism","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666149724000471","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
Description of clinical profile, acute complications and glycemic control after Ramadan fasting in a Tunisian population of patients with diabetes
Aims
To assess clinical and metabolic parameters in patients with diabetes during Ramadan fasting.
Patients and method
It was a prospective evaluative study based in the National Institute of Nutrition of Tunis (Departement C) in a population of patients with diabetes prepared for fasting by education and therapeutic adjustment.
Results
140 diabetics, mainly at high and very high risk (70.7 %), were analyzed. The frequencies of hypo and hyperglycemia were 12.1 and 11.4 % respectively. The mean weight and the mean systolic and diastolic blood pressure remained stable. Fasting blood glucose and HbA1C decreased significantly (−0.7 ± 3.1 mmol/L (p = 0.009), −0.18 ± 1.1 % (p = 0.047). The mean creatinine clearance had remained stable.
Conclusion
Ramadan fasting can be well-tolerated, even for patients at high and very high risk, with an improvement in glycemic control, provided prior education and adequate therapeutic adjustment.
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