Ramadan Fasting In Diabetic Children in Riyadh

Salman, Hussein; Abd-Allah, M. Azab; Abanamy, M.A.; Howasi, M. Al

doi:10.1111/j.1464-5491.1992.tb01848.x

Cited by 30 publications

(19 citation statements)

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“…The amount of energy intake is unchanged or decreased in most patients during fasting and weight loss may be observed [36] . There are no significant changes in fasting plasma glucose (FPG), HbA1c [37][38][39] , fructosamine, insulin and C-peptide [32,37,38] levels during fasting, although some studies do show a trend towards better glycemic control [40] while others indicate an increase in FPG and poor control of diabetes during this month of fasting [41] . Changes in FPG may occur due to the changes in body weight and exercise habits, amount and type of foods consumed, gorging after breaking of the fast, or irregularity of medication compliance [2] .…”

Section: Diabetesmentioning

confidence: 99%

Islamic Fasting and Health

2010

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Background: Muslims fast from sunrise to sunset during the month of Ramadan, the 9th lunar month. The duration of fasting varies from 13 to 18 h/day. Fasting includes avoidance of drinking liquids and eating foods. The aim of this article is to review health-related aspects of Ramadan fasting. Methods: Related abstracts from 1960 to 2009 were obtained from Medline and local journals in Islamic countries. One hundred and thirteen articles meeting the criteria for paper selection were reviewed in depth to identify details of related materials. Results: During the fasting days of Ramadan glucose homeostasis is maintained by meals taken before dawn and by liver glycogen stores. Changes in serum lipids are variable and depend on the quality and quantity of food consumption and changes in weight. Compliant, well-controlled type 2 diabetics may observe Ramadan fasting, but fasting is not recommended for type 1, noncompliant, poorly controlled and pregnant diabetics. There are no adverse effects of Ramadan fasting on the heart, lung, liver, kidney, eyes, hematologic profile, endocrine and neuropsychiatric functions. Conclusions: Although Ramadan fasting is safe for all healthy individuals, those with various diseases should consult their physicians and follow scientific recommendations.

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Section: Diabetesmentioning

confidence: 99%

Islamic Fasting and Health

2010

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“…For patients with type 2 diabetes who fast during Ramadan, acute metabolic complications are found to be the major problem. Some studies reported increased hypoglycemic events [Salti et al 2004;Salman et al 1992], whereas others did not [Mafauzy et al 1990; The Glimepiride in Ramadan Study Group, 2005].…”

Section: Introductionmentioning

confidence: 99%

Glycemic effects of vildagliptin in patients with type 2 diabetes before, during and after the period of fasting in Ramadan

Malha

Taan²,

Zantout

et al. 2014

Therapeutic Advances in Endocrinology

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Objective: To study the incidence of hypoglycemia, glycemic control and body weight changes in patients with type 2 diabetes treated with vildagliptin and metformin versus another group treated with sulphonylureas and metformin during and after the period of fasting in Ramadan. Patients and methods: This is a randomized open-label clinical trial that recruited 69 patients previously treated with a combination therapy of metformin and sulphonylurea. Patients in the control group were maintained on their usual metformin and sulphonylurea regimen with dose adjustment for the fasting period. Patients in the study group were given vildagliptin 50 mg twice daily (at Suhur and at Iftar). One group remained on the previous background therapy unchanged and the other group was switched from sulphonylurea to vildagliptin in combination with metformin. Four visits were scheduled, one before the beginning of Ramadan (baseline), a second visit at mid Ramadan, a third at the end of Ramadan and a final visit 1 month after the end of Ramadan. At every visit, patients were assessed for hypoglycemic events and patient education was given on lifestyle needs and hypoglycemia monitoring and management. Results: The calculated change in hemoglobin A1c from baseline to last visit was similar for both groups. The incidence of hypoglycemia during Ramadan was higher in the control group (26 episodes versus 19 episodes in the study group); this result was not statistically significant (p = 0.334). However, the number of patients who dropped out from the study because of discomfort due to treatment and fear of hypoglycemia was higher in the control group. Conclusion: For patients who insist on observing the fast, physicians can allow it only with close follow up and monitoring for hypoglycemic events, and vildagliptin may be a better agent than sulphonylurea.

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“…[23][24][25][26][27][28][29] The amount of fructosamine, insulin and C-peptide has been reported to have no significant change before and during Ramadan fasting. 23,27,28 Serum creatinine, uric acid, blood urea nitrogen, protein, albumin, alanine amino-transferase, and aspartate amino-transferase values do not show significant changes during the fasting period. 27,30 The amount of energy (calorie) intake have been reported in some of the literature, indicating a decrease in energy intake.…”

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confidence: 99%

Research in Islamic Fasting and Health

Azizi

2002

Ann Saudi Med

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Fasting during Ramadan is a religious duty for all healthy adult Muslims. Ramadan is the ninth month of the Islamic lunar calendar. Many of the world's great religions recommend a period of fasting or abstinence. The Islamic fast during the month of Ramadan during which a whole month is dedicated to fasting is particular to Islam, and is strictly observed by millions of Muslims worldwide. Since more than a billion people worldwide follow Islam, it is assumed that hundreds of millions of people observe the Ramadan fasting each year. The experience of fasting teaches Muslims self-discipline and self-restraint, and reminds them of the feelings of the impoverished. Fasting is not obligatory for children. Menstruating women as well as sick and travelling people are excused, and pregnant and lactating women are permitted to postpone the fasting during Ramadan, however, they should fast during another month of the year, when they have no reason for exemption. 1,2 During Ramadan, the majority of Muslims have two good-sized meals; one immediately after sunset and the other just before dawn. They are allowed to eat and drink between sunset and dawn but not after dawn. Since the Islamic calendar derives from a lunar cycle, the Islamic year contains 354 days. Therefore, the Ramadan month occurs 11 days earlier every year, and may occur in any of the four seasons, making the length of fasting hours variable from 11 to 18 hours in tropical countries. The month of Ramadan is either 29 or 30 days.From the physiological standpoint, Islamic fasting provides a unique model of fasting. It is distinct from regular voluntary or experimental fasting by the fact that the observant of the fast does not drink during fasting hours. In addition, Ramadan fasting is not just disciplining the body to restrain from eating and drinking. The eyes, ears, tongue, and indeed the whole body, are equally obligated to be restrained. Therefore, one may assume that physiological changes occurring during Islamic fasting would be different from those noted during an experimental fast. This review discusses the findings of research conducted on various aspects of Ramadan fasting and its impact on some disease processes. A comparison with the effects of experimental fasting is attempted whenever possible. The author conducted a Medline search, reviewed local journals in some of the Islamic countries, as well as some research findings from two international congresses on health and Ramadan. 3,4 Impact of Ramadan Fasting on Metabolism Carbohydrate MetabolismThe effects of experimental short-term fasting on carbohydrate metabolism have been reviewed extensively. 5,6The post-absorptive period of fasting is defined as 8 to 16 hours after eating, a period of very early adaptation to starvation. The primary metabolic priority of this period is the provision of adequate glucose for the cells of the brain, red blood cells, peripheral nerves and renal medulla. A slight decrease in serum glucose to around 3.3-3.9 mmol/L (60-70 mg/dL) occurs a few hours after fasting i...

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Ramadan Fasting In Diabetic Children in Riyadh

Cited by 30 publications

References 2 publications

Islamic Fasting and Health

Islamic Fasting and Health

Glycemic effects of vildagliptin in patients with type 2 diabetes before, during and after the period of fasting in Ramadan

Research in Islamic Fasting and Health

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