Diabetes and Ramadan: Practical guidelines

Hassanein, Mohamed; Alarouj, Monira; Hamdy, Osama; Bebakar, Wan Mohamad Wan; Jabbar, Abdul; Al-Madani, Abdulrazzaq; Hanif, Wasim; Lessan, Nader; Basit, Abdul; Tayeb, Khaled; Omar, M. A. K.; Abdallah, K. Ally; Twaim, Abdulaziz Al; Büyükbeşe, Mehmet Akif; El-Sayed, Ahmed A.; Bennakhi, Abdullah

doi:10.1016/j.diabres.2017.03.003

Cited by 283 publications

(436 citation statements)

References 67 publications

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“…Islamic authorities state that health problems that are likely to worsen during fasting provide a clear exemption from fasting. 1 A number of guidelines exist to enable health professionals to advise Muslim patients on their risk of fasting, and how to manage their diet and diabetes medication whilst fasting. 1,2 Previous studies have looked at outcomes of fasting in patients predominantly in tropical climates where the duration of fasting is generally stable at around 12-14 hours.…”

Section: Introductionmentioning

confidence: 99%

A survey of patients with type 2 diabetes and fasting outcomes during Ramadan 2016 in London: the East London Diabetes in Ramadan Survey

Chowdhury

2017

Br J Diabetes

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Aims: Fasting in the summer months for Muslim people with diabetes during Ramadan is challenging, particularly in temperate climates where the duration of fasting is prolonged. We aimed to survey the experiences of patients with diabetes during Ramadan 2016 in East London. Methods: A telephone survey of Muslim patients with type 2 diabetes in Tower Hamlets, London was carried out. Patients were surveyed on discussions with a health professional before Ramadan, whether they followed advice given, the number of fasts undertaken, alterations in medication and adverse events. Results: Of 1,000 people contacted, 718 agreed to the survey. 396 (55.1%) were female, the median age was 52.1 years (range 31-84) and median diabetes duration 13.6 years (range 1-45). 36 (5%) were treated with diet alone, 428 (59.6%) with oral antidiabetic therapy and 254 (35.4%) were treated with insulin. 372 people (52%) discussed fasting with a health professional; 126 (33.8%) were advised not to fast, of whom 103 (81.7%) elected not to fast. 398 (55.4%) fasted at least once; the median number of days fasted was 16 (range 1-30). 327 patients (82.1%) made changes to their therapy. 24 patients (6%) reported episodes of hypoglycaemia, of whom two (0.3%) required third party assistance. Conclusions: Significant numbers of patients did not discuss fasting with a health professional prior to Ramadan and some patients fasted despite medical advice. Despite the long duration, many patients fasted successfully for at least part of Ramadan, with few adverse outcomes. Br J Diabetes 2017;17:149-151

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Section: Introductionmentioning

confidence: 99%

A survey of patients with type 2 diabetes and fasting outcomes during Ramadan 2016 in London: the East London Diabetes in Ramadan Survey

Chowdhury

2017

Br J Diabetes

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“…Muslims in Ramadan change their eating routines, which includes changing the types and timing of almost all meals during this month. This can affect fasting people with diabetes mellitus in terms of identifying the appropriate diet, medication time and amount [29].…”

Section: Diabetes Mellitus In the Kingdom Of Saudi Arabiamentioning

confidence: 99%

“…• Openness to change is important for promoting, managing and sharing knowledge [28] [29] [44] [45]. Openness is defined by Bradley [46] as improving performance or obtaining high absorptive capacity through recognising and responding to the needs for change.…”

Section: Knowledge Management In Healthcare In the Kingdom Of Saudi Amentioning

confidence: 99%

Application of the SECI Model Using Web Tools to Support Diabetes Self-Management and Education in the Kingdom of Saudi Arabia

Almuayqil¹,

Atkins²,

Sharp³

2017

IIM

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The area of knowledge management, the SECI mode in particular, has great value in terms of enriching patients' knowledge about their diseases and its complications. Despite its effectiveness, the application of knowledge management in the healthcare sector in the Kingdom of Saudi Arabia seems deficient, leading to insufficient practice of self-management and education of different prevalent diseases in the Kingdom. Moreover, the SECI model seems to be only focusing in the conversion of human knowledge and ignore knowledge stored in databases and other technological means. In this paper, we propose a framework to support diabetic patients and healthcare professionals in the Kingdom of Saudi Arabia to self-manage their disease. Data mining and the SECI model can provide effective mechanisms to support people with diabetes mellitus. The area of data mining has long been utilised to discover useful knowledge whereas the SECI model facilitates knowledge conversion between tacit and explicit knowledge among different individuals. The paper also investigates the possibilities of applying the model in the web environment and reviews the tools available in the internet that can apply the four modes of the SECI model. This review helps in providing a new median for knowledge management by addressing several cultural obstacles in the Kingdom.

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“…Ramadan-focused diabetes education is focused on empowering patients with the knowledge to make informed decisions regarding how to manage their condition during Ramadan [1]. Nutritional education of a diabetic patient makes the autonomy for a better management and a longer life expectancy [2].…”

Section: Background and Aimsmentioning

confidence: 99%

Effect of Pre-Ramadan Education on Dietary Intake and Anthropometry-Comparison Between Two Groups of Diabetic Patients

Bencharif

Boudaoud

Fenaghra

et al. 2017

Romanian Journal of Diabetes Nutrition and Metabolic Diseases

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Diabetes and Ramadan: Practical guidelines

Cited by 283 publications

References 67 publications

A survey of patients with type 2 diabetes and fasting outcomes during Ramadan 2016 in London: the East London Diabetes in Ramadan Survey

A survey of patients with type 2 diabetes and fasting outcomes during Ramadan 2016 in London: the East London Diabetes in Ramadan Survey

Application of the SECI Model Using Web Tools to Support Diabetes Self-Management and Education in the Kingdom of Saudi Arabia

Effect of Pre-Ramadan Education on Dietary Intake and Anthropometry-Comparison Between Two Groups of Diabetic Patients

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