Comparison of Incidences, Hospital Stay and Precipitating Factors of Diabetic Ketoacidosis in Ramadan and the Following Month in Three Major Hospitals in United Arab Emirates. A Prospective Observational Study

Abdelgadir, Elamin; Hafidh, Khadija; Basheir, Alaaeldin M K; Af, Bachar O; Alawadi, Fatheya; Rashid, Fouzia; Majd, Lina; Roubi, Sana; Hassanein, Mohamed

doi:10.4172/2155-6156.1000514

Cited by 10 publications

(11 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They further reported no difference in neither the length of hospital stay nor mortality [21]. In DKAR1 we reported higher incidences of DKA during Ramadan when compared to the admissions in the preceding six months [11]. The current study did not support the same conclusion; as the mean number of admissions in the six months preceding Ramadan was 56+ 7, while during Ramadan the total number admitted was 57 patients.…”

Section: Discussioncontrasting

confidence: 76%

“…Compared to our previous study (DKAR1) we have included patients admitted during the month of Shaaban to have a better representation of the admissions in the months before and after Ramadan [11]. To ensure accuracy and consistency in data collection all participating centers used same diagnostic criteria for DKA diagnosis as well as the same performa for data collection.…”

Section: Discussionmentioning

confidence: 99%

“…Results of that article showed longer hospital stay during Ramadan for DKA patients and higher rates of DKA during the last 6 months in the Ramadan group. However, the rate of DKA admissions during Ramadan was less than the following months [11]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A prospective multi-country observational trial to compare the incidences of diabetic ketoacidosis in the month of Ramadan, the preceding month, and the following month (DKAR international)

Abdelgadir

Hassanein

Bashier

et al. 2016

J Diabetes Metab Disord

Self Cite

View full text Add to dashboard Cite

Background1.7 billion Muslims worldwide obey divine commands of fasting for a month. This may increase the probability of the acute complications of diabetes during the fasting period.Design and methodsWe primarily aimed to compare the incidences and duration of Diabetic ketoacidosis (DKA) admissions during Ramadan compared to the month before (Shaaban) and the month after (Shawal) as well as the average pre-Ramadan six months' admissions. Our secondary objective was to assess the different incidence of DKA between Ramadan and the other months regarding precipitating factors, fasting practices in people admitted with DKA and gender differences.This was a prospective study that included all Muslims who were admitted with DKA to major hospitals in the United Arab Emirates, Sudan, Tunisia and Morocco during the pre-Ramadan month, Ramadan and post-Ramadan month, in addition to the average monthly admissions during the last six months before Ramadan. Demographics, clinical, and laboratory indices were collected and analyzed to assess primary and secondary end points.ResultsOne hundred seventy patients were admitted during the study duration, 56 were admitted during Ramadan and 63 in Shawal. Six months before Ramadan showed an average admission of 56 + 7 per month. All those admitted during Ramadan were people with type1 diabetes. 29.8 % of those admitted during Ramadan did not receive structured education program on diabetes management in Ramadan. Non-compliance to medications represented the commonest cause for admission in the whole study period. Hospital stay was comparable through different months, but the duration of acidosis was longest during Ramadan month.ConclusionIn concordance with DKAR1, DKAR international showed higher rates of DKA during Ramadan when compared to preceding Lunar month (Shaaban). In Shawal, however, the rates of DKA admission were higher than the average monthly DKA admissions. The duration of acidosis was longer in Ramadan group and positively correlated with duration of diabetes. Many patients did not receive structured education about diabetes and fasting Ramadan. Our study calls for formal pre-Ramadan education and enforces the need for advice against fasting in patients who already experienced DKA in the months preceding Ramadan.

show abstract

Section: Discussioncontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A prospective multi-country observational trial to compare the incidences of diabetic ketoacidosis in the month of Ramadan, the preceding month, and the following month (DKAR international)

Abdelgadir

Hassanein

Bashier

et al. 2016

J Diabetes Metab Disord

Self Cite

View full text Add to dashboard Cite

show abstract

“…29 Fasting during Ramadan is a potential challenge to self-control. The major risks for the patients with diabetes who fast during Ramadan have been identified as hypoglycemia or hyperglycemia, 30 Ketoacidosis, 31 dehydration and thrombosis. 32 Practice of fasting leads to changes in the timing and frequency of eating meals and taking medications.…”

Section: Discussionmentioning

confidence: 99%

<p>Knowledge, Attitude and Practice Regarding Ramadan Fasting and Related Determinants in Patients with Type 2 Diabetes at a Saudi Diabetes Clinic</p>

Alsunni

Albaker

Almansour

et al. 2020

DMSO

View full text Add to dashboard Cite

This study was carried out in type 2 diabetes mellitus (T2DM) patients to assess their knowledge, attitude and practice about fasting during Ramadan and to identify the sociodemographic determinants of the knowledge, attitude and practice. Methods: A total of 107 T2DM patients were interviewed at a diabetes clinic in the Eastern Saudi Arabia. A questionnaire containing knowledge, attitude and practice questions about fasting during Ramadan was used to collect data. Data about age, gender, city of residence, nationality, level of education, and history of diabetes in family were also collected. Descriptive and inferential statistics were carried out using IBM-SPSS Version 21. Results: The mean total score for knowledge, attitude and practice was 16.5 ±3.72 (out of 27). The individual scores for knowledge, attitude and practice were: 9.67±2.53 (out of 16), 4.10±1.28 (out of 6), and 2.77±1.08 (out of 5), respectively. Gender (OR: 4.08, 95% CI: 1.05,15.79 and p<0.041), education (OR: 0.068, 95% CI: 0.008,0.594, p<0.015) and family history (OR: 5.086, 95% CI: 1.095, 23.630 p<0.038) were identified as independent determinants of the total score. Conclusion: Gender, Family history of diabetes and Education are determinants of knowledge, attitude and practice regarding fasting during Ramadan in the T2DM patients. A significant knowledge practice gap exists that necessitates further strengthening of the Pre-Ramadan education program for T2DM patients.

show abstract

“…In another study, the rate and duration of hospital admission for DKA during Ramadan and the following month (Shawal) were higher than the average monthly rate over the preceding six months. Many of those with DKA during Ramadan had experienced DKA in the previous few months [17].…”

Section: Risk Stratification Of Individuals With Diabetes During Ramadanmentioning

confidence: 99%

Diabetes and Ramadan: Practical guidelines

Hassanein

Alarouj

Hamdy

et al. 2017

Diabetes Research and Clinical Practice

283

357

View full text Add to dashboard Cite

Comparison of Incidences, Hospital Stay and Precipitating Factors of Diabetic Ketoacidosis in Ramadan and the Following Month in Three Major Hospitals in United Arab Emirates. A Prospective Observational Study

Cited by 10 publications

References 8 publications

A prospective multi-country observational trial to compare the incidences of diabetic ketoacidosis in the month of Ramadan, the preceding month, and the following month (DKAR international)

A prospective multi-country observational trial to compare the incidences of diabetic ketoacidosis in the month of Ramadan, the preceding month, and the following month (DKAR international)

<p>Knowledge, Attitude and Practice Regarding Ramadan Fasting and Related Determinants in Patients with Type 2 Diabetes at a Saudi Diabetes Clinic</p>

Diabetes and Ramadan: Practical guidelines

Contact Info

Product

Resources

About