The effect of Ramadan fasting on ambulatory blood pressure in hypertensive patients using combination drug therapy

Ural, Ertan; Kozdağ, Güliz; Kılıç, Teoman; Ural, Dilek; Şahin, Tuğçe Demirtaş; Celebi, Oezlem; Komşuoğlu, Baki

doi:10.1038/sj.jhh.1002296

Cited by 33 publications

(30 citation statements)

References 8 publications

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“…3 Pathophysiology of fasting in diabetes patients. IF intermittent fasting, IR insulin resistance, T1DM type 1 diabetes mellitus, T2DM type 2 diabetes mellitus patients on combination drug therapy during and 1 month after Ramadan [31].…”

Section: Metabolic Effects Of Controlled and Ramadan Fastingmentioning

confidence: 99%

Ramadan and Diabetes: A Narrative Review and Practice Update

et al. 2020

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Fasting in the Islamic month of Ramadan is obligatory for all sane, healthy adult Muslims. The length of the day varies significantly in temperate regions-typically lasting C 18 h during peak summer in the UK. The synodic nature of the Islamic calendar means that Ramadan migrates across all four seasons over an approximately 33-year cycle. Despite valid exemptions, there is an intense desire to fast during this month, even among those who are considered to be at high risk, including many individuals with diabetes mellitus. In this review we explore the current scientific and clinical evidence on fasting in patients with diabetes mellitus, focussing on type 2 diabetes mellitus and type 1 diabetes mellitus, with brief reviews on pregnancy, pancreatic diabetes, bariatric surgery, the elderly population and current practice guidelines. We also make recommendations on the management of diabetes patients during the month of Ramadan.

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Section: Metabolic Effects Of Controlled and Ramadan Fastingmentioning

confidence: 99%

Ramadan and Diabetes: A Narrative Review and Practice Update

et al. 2020

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“…This was confirmed by a Ural et al . [ 14 ] in their study of subjects with Grade 2–3 hypertension (HTN) using combination therapy. Twenty-four hours ABPM was performed during and after Ramadan.…”

Section: Hypertensionmentioning

confidence: 99%

The cardiac patient in Ramadan

Chamsi-Pasha

Chamsi‐Pasha

2016

Avicenna J Med

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Ramadan is one of the five fundamental pillars of Islam. During this month, the majority of the 1.6 billion Muslims worldwide observe an absolute fast from dawn to sunset without any drink or food. Our review shows that the impact of fasting during Ramadan on patients with stable cardiac disease is minimal and does not lead to any increase in acute events. Most patients with the stable cardiac disease can fast safely. Most of the drug doses and their regimen are easily manageable during this month and may need not to be changed. Ramadan fasting is a healthy nonpharmacological means for improving cardiovascular risk factors. Most of the Muslims, who suffer from chronic diseases, insist on fasting Ramadan despite being exempted by religion. The Holy Quran specifically exempts the sick from fasting. This is particularly relevant if fasting worsens one's illness or delays recovery. Patients with unstable angina, recent myocardial infarction, uncontrolled hypertension, decompensated heart failure, recent cardiac intervention or cardiac surgery or any debilitating diseases should avoid fasting.

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“…The updated list should be distributed to all the healthcare providers before at least 1 month before Ramadan The pharmacist should check with all healthcare teams for switching medication before or during Ramadan An annual educational talk should be delivered to the healthcare teams The caregiver should notify his/her supervisor or department director or head as soon as the discovery of medication error happens during Ramadan and if the occurrence is severe, take immediate action The immediate supervisor or employer must be notified to assess the outcome and to take action The patients should be monitored for the occurrence of drug-related problems 1 All drug-related problems during Ramadan should be documented 34,36,37 Immediate supervisor or employer should sign the reporting document and forward it to the pharmacy department.…”

Section: Project Descriptionmentioning

confidence: 99%

“…Several investigations have shown that the fasting will not affect the outcome of the disease negatively. [1][2][3][4][5][6][7][8] However, some patients may experience adverse effects if they do not follow the proper instructions provided by the medical team. [9][10][11] A proper knowledge and perception of medications and drug therapy during the holy month of Ramadan is warranted.…”

Section: Introductionmentioning

confidence: 99%

Ramadan Pharmaceutical Care System at the Ministry of Health Institutions, Saudi Arabia

Alomi¹,

Adouh²,

Alghuraibi³

2019

PTB Reports

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Objectives: To demonstrate the Ramadan Pharmaceutical Care System as part of the national pharmacy practice program at the Ministry of Health institutions in the Kingdom of Saudi Arabia. Methods: This is a description analysis of Ramadan Pharmaceutical Care System at the Ministry of Health institutions. It was analyzed within the national pharmacy practice program. We used the modified pharmacy business model system and the project management procedure in the report. Results: The Ramadan Pharmaceutical Care program was established with a defined vision, mission and goals. In this project, human, economic and other resources have been described. The risk management was discussed to assure the continuation of the program. Furthermore, we illustrate the monitoring and controlling of the system. The closing stage with conversion to operation project was demonstrated in the Analysis. Conclusion: The Ramadan Pharmaceutical Care system has been implemented and is considered as part of the healthcare system and pharmacy strategic plan. This program has been created to improve pharmacy services provided to the patient and to increase patient satisfaction in the Ministry of Health institutions, Kingdom of Saudi Arabia.

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The effect of Ramadan fasting on ambulatory blood pressure in hypertensive patients using combination drug therapy

Cited by 33 publications

References 8 publications

Ramadan and Diabetes: A Narrative Review and Practice Update

Ramadan and Diabetes: A Narrative Review and Practice Update

The cardiac patient in Ramadan

Ramadan Pharmaceutical Care System at the Ministry of Health Institutions, Saudi Arabia

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