Continuous subcutaneous insulin infusion versus multiple daily insulin injections in patients with Type 1 diabetes mellitus who fast during Ramadan: A systematic review and meta-analysis

“…Gad et al assessment included a total of nine observational studies and showed that there was no difference in the change of HbA1c. [42] In pandemic time, fear of hypoglycaemia with reduction of insulin dose might cause post Ramadan hyperglycaemia in our patients. More over people here take lots of carbohydrates during iftar including simple carbohydrates and not adjusting the dose accordingly may cause worse glycemic control after Ramadan with higher HbA1c in both groups.…”

Section: Discussionmentioning

confidence: 69%

Higher HbA1c was observed in young people with diabetes who fasted during COVID-19 pandemic lockdown of 2020 Ramadan in Bangladesh – A Post Ramadan survey

Zabeen

Ahmed

Nahar

et al. 2022

Diabetes Research and Clinical Practice

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“…For insulin-dependent fasting diabetics, Gad and others revealed no substantial variation in terms of glycemic control (HbA1c) between multiple daily injections (MDI) and continuous subcutaneous insulin infusion (CSII). However, incidence of DKA and hypoglycemia as well as glucose profile were not assessed due to insufficient data [ 11 ]. Similar trend was observed as no significant difference was observed in plasma glucose levels from Shaaban until Shawal.…”

Section: Discussionmentioning

confidence: 99%

The impact of Ramadan on visits related to diabetes emergencies at a tertiary care center

et al. 2021

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Background Ramadan is the ninth month of the Islamic calendar were Muslims fast from dawn until sunset. This prolonged fasting period might have an impact on patients with diabetes and their disease control. This study aimed to determine the variation in visits at the Emergency Room department (ER) during Ramadan in comparison with other lunar months at a tertiary care hospital in Jeddah city in relation to the diabetes emergencies. Methodology A retrospective cross-sectional study was conducted using electronic medical record review of patients with diabetes emergencies who visited ER of a Military hospital, from 9th to 11th lunar months during 2017–2018. Diabetes patients who visited ER and aged more than 18 years old were included. Frequency of ER visits, sociodemographic characteristics and clinical features were determined. Chi-square test, Student ‘s t-test and one-way ANOVA at p < 0.05 were used in assessing associations between variables. Results Within the selected study period, a total of 24,498 admissions were recorded in ER. The prevalence of diabetes emergencies visits was only 0.84%. Based on inclusion criteria, a total of 133 subjects were included in the study (54.1% men, 45.9% women). Majority of whom (73.7%) were on insulin therapy, and more than half of whom (51.9%) were type 2 diabetes. There was a significant difference (p = 0.001) in the prevalence of diabetes emergencies visits between the three lunar months Shaban, Ramadan and Shawal, 7, 5 and 4%, respectively. However, the highest prevalence was not in Ramadan. Despite some correlations were identified, the study found no significant differences between frequency of ER visits and various demographic, clinical factors and diabetes profile between Ramadan and other both preceding and succeeding lunar month. Conclusion In contrary with previous studies, a downward trend of prevalence, from Shaban to Ramadan, to Shawal was found. This indicated that fasting during month of Ramadan does not impact negatively on the diabetes emergencies in comparison with other months. Hyperglycemia among type 2 diabetes and insulin treated patients were recorded the highest feature of diabetes emergences visits during the three months studied with no significant differences between the months. These findings highlight the need of type 2 and insulin treated patients to be thoroughly assess by the Primary Care physicians and in-depth health education and guidance should be given to them.

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Continuous subcutaneous insulin infusion versus multiple daily insulin injections in patients with Type 1 diabetes mellitus who fast during Ramadan: A systematic review and meta-analysis

Cited by 11 publications

References 43 publications

Glucose control during Ramadan fasting in a teenager with type 1 diabetes on MiniMed 670G hybrid closed-loop system

Glucose control during Ramadan fasting in a teenager with type 1 diabetes on MiniMed 670G hybrid closed-loop system

Higher HbA1c was observed in young people with diabetes who fasted during COVID-19 pandemic lockdown of 2020 Ramadan in Bangladesh – A Post Ramadan survey

The impact of Ramadan on visits related to diabetes emergencies at a tertiary care center

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