Role of 24-hour Helpline Service in the Management of Diabetes During the Holy Month of Ramadan

Ulhaque, Muhammad Saif; Zafar, Awn Bin; Farrukh, Ahmed; Ahmedani, Muhammad Yakoob

doi:10.7759/cureus.7320

Cited by 3 publications

(5 citation statements)

References 16 publications

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“…Optimal care of selective patients with T1D with low complication rates may allow RF with improvement in glycemic control and without an increase in hypoglycemia, biometric or metabolic parameters Elamari et al [37] n=34 Morocco Impact of RF on the glycemic control of patients with diabetes prepared for fasting according to the ADA 2010 guidelines Good evaluation of diabetic risk level, focused education, glycemia monitoring, and treatment adjustment by implementing international guidelines enable fasting with a low risk of complications Catic and Jusufovic [38] n=27 Bosnia and Herzegovina Knowledge, practice, and attitudes of physicians treating diabetes regarding the management of diabetes in fasting patients during Ramadan There remains an opportunity for the additional introduction of specialized education and measures into the current practices to improve treatment outcomes and standards of care Ulhaque et al [39] n=102 Pakistan Role of a 24-h helpline service in diabetes management during RF The intervention minimizes diabetic complications, facilitates timely treatment adjustments, and reduces hospital visits and admissions ADA: American Diabetes Association, RF: Ramadan fasting, T1D: Type 1 diabetes…”

Section: Authors Study Size and Site Intervention Evaluated Conclusionmentioning

confidence: 99%

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Ramadan fasting and diabetes (2020): The year in review

Hafidh

Ali

Abbas

et al. 2021

Journal of Diabetes and Endocrine Practice

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Review Article introduCtionRamadan fasting (RF) observed by adult Muslims entails abstinence from food, water, all oral substances, intravenous fluid therapy, and smoking between dawn and sunset during the 9 th month of the Muslims' lunar calendar. [1] Ramadan's impact on health and disease stems from the biological effects of prolonged fasting during the daytime and possible overfeeding at night and its various social changes. The last three decades witnessed a rising interest in the research on RF in health and disease. [2] Diabetes has been the most extensively studied single medical condition in connection with RF. [3] Despite the increase in volume of the literature, concern has been voiced regarding the quality of publications on the subject. [4,5] The literature on health aspects of Ramadan fasting (RF) is widely spread in many journals, making it not readily accessible to those interested in the subject. We therefore aimed to provide a thematic overview of the global research work conducted in the realm of RF during 2020 on the impact of RF in people with diabetes. We aimed to provide a concise bird's eye view of the literature published in a year and to identify the basis of evidence that may guide clinical practices for the years to come. matErials and mEthodsThis is a narrative, nonsystematic review of the literature retrieved from one online database over a full calendar year (2020). The PubMed search engine of the National Center for Biotechnology Information at the U.S. National Library of Medicine was used. The search term ("Ramadan Fasting" OR "Fast of Ramadan") AND diabetes, with time filters from January 1, 2020, to December 31, 2020, was used to identify the relevant records. Retrieved articles were examined forThe literature on health aspects of Ramadan fasting (RF) is widely spread in many journals, making it not readily accessible to those interested in the subject. We aimed to provide a narrative overview of the global literature production in 1 year (2020) on diabetes and RF. This was a narrative, nonsystematic review of the international literature from a single major medical online database (i.e., PubMed) during the year 2020. The search term "Ramadan fasting AND Diabetes" was used, and the relevant literature was narrated in a concise thematic account. The publications spanned a vast array of topics related to RF, including assessments of safety and efficacy profiles of older and newer diabetes therapies, modes of insulin delivery, evaluating the role of utilizing advanced technology for the treatment, and monitoring of blood glucose during RF. Increased interest was evident in capturing patients' perspectives and healthcare professionals' perceptions, attitudes, and practices during Ramadan. Fasting by high-risk groups was studied. Not surprisingly, some reports covered COVID-19 and Ramadan and the role of telemedicine in ramadan. The current literature review presents this year's research data on the safety of fasting practices, care models, and patients' experiences and perspectives....

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Section: Authors Study Size and Site Intervention Evaluated Conclusionmentioning

confidence: 99%

“…The role of a 24-h helpline service in the management of diabetes was assessed during the month of Ramadan. [39] A prospective study was conducted in Pakistan (2017-2018). Patients with T1D and T2D who were planning to fast in Ramadan 2018 were included.…”

Section: Authors Study Size and Site Intervention Evaluated Conclusionmentioning

confidence: 99%

Ramadan fasting and diabetes (2020): The year in review

Hafidh

Ali

Abbas

et al. 2021

Journal of Diabetes and Endocrine Practice

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“…12 In another meta-analysis of 42 randomized controlled trials, the mean reduction in HbA1c was significantly higher in the telemedicine groups compared with usual care in managing diabetes, especially type 2 diabetes. 13 Furthermore, some authors have been interested in telemedicine applied to the follow-up of diabetics during the 14 Our study showed that telemedicine follow-up of diabetic patients during Ramadan did not achieve better glycemic control than conventional follow-up (variations of glycated hemoglobin in 2019 were -0.61% versus −0.36% in 2020). This could be explained by the COVID context of our study.…”

Section: Discussionmentioning

confidence: 71%

“…This study showed a significant decrease of glycated hemoglobin after Ramadan in type 2 patients with diabetes. 14 …”

Section: Discussionmentioning

confidence: 99%

Diabetes During the Fasting Month of Ramadan: Is Telemedicine as Efficient as Conventional Follow-Up? Results from a Moroccan Comparative Study

Motaib

Elamari

Khalis

et al. 2021

DMSO

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Aim: During the COVID-19 pandemic, access to health care was affected by the lockdown period. To overcome this situation, telemedicine is an alternative to conventional follow-up for patients with diabetes during the fasting month of Ramadan. The aim of this study is to compare the effectiveness of telemedicine consultation of diabetic patients during Ramadan compared with conventional follow-up. Methods: This comparative cross-sectional study conducted in the Sheikh Khalifa Ibn Zaid Hospital of Casablanca, Morocco, included diabetic patients followed up by conventional consultation in 2019 Ramadan and by telemedicine in 2020 Ramadan. For each patient and in both Ramadans (2019 and 2020), we have conducted a pre-Ramadan assessment, screening for acute diabetic complications during Ramadan and an evaluation of weight and glycated hemoglobin of patients, after Ramadan. We compared the occurrence of acute complications and the variation of metabolic parameters of patients in Ramadan 2020 with their results in Ramadan 2019. Results: In this study, we included 61 patients. In Ramadan 2020, compared with Ramadan 2019, there was no significant difference in terms of hypoglycemia (18.03% versus 32.78%, p = 0.09), minor hyperglycemia (13.1% versus 11.47%, p = 0.35) and major hyperglycemia or ketoacidosis (3.27% versus 6.55%, p = 0.19). Fasting was interrupted in 8.19% versus 11.47% (p = 0.012). There were no significant variations of weight (+0.62 versus −0.77; p = 0.09). In term of variation of glycated hemoglobin, there was a significant different between Ramadan 2020 and Ramadan 2019 (−0.36 versus −0.61 in 2019, p<0.05). Conclusion:Despite comparable results in terms of weight change and hypoglycemia, our study showed that telemedicine follow-up in patients with diabetes during Ramadan did not provide as effective glycemic control as conventional monitoring.

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“…Participants viewed telemedicine as a more convenient alternative, although technological barriers remain a concern. A prospective study assessed the role of a 24‐h Helpline Service for people with diabetes during Ramadan and supported its key role in promoting safe fasting and reducing unnecessary hospital visits and admissions 49 . More than half of the 927 calls were queries related to glucose monitoring data and insulin dose adjustment in T1D.…”

Section: Telemedicinementioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2022: Ramadan and other religious fasting by young people with diabetes

et al. 2022

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Role of 24-hour Helpline Service in the Management of Diabetes During the Holy Month of Ramadan

Abstract: To assess the role of the 24-hour helpline service in the management of diabetes during the holy month of Ramadan.

Cited by 3 publications

References 16 publications

Ramadan fasting and diabetes (2020): The year in review

Ramadan fasting and diabetes (2020): The year in review

Diabetes During the Fasting Month of Ramadan: Is Telemedicine as Efficient as Conventional Follow-Up? Results from a Moroccan Comparative Study

ISPAD Clinical Practice Consensus Guidelines 2022: Ramadan and other religious fasting by young people with diabetes

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