The Impact of Fasting during Ramadan on the Glycemic Control of Patients with Type 2 Diabetes Mellitus

Şahin, Serap Baydur; Ayaz, Teslime; Özyurt, Neslihan; İlkkılıç, Kadir; Kirvar, Abdulkadir; Sezgin, Hacer

doi:10.1055/s-0033-1347247

Cited by 35 publications

(42 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, the results of this study did not support our hypothesis. While we failed to find comparable studies of fasting effects in schizophrenia patients, our results were in contrast with studies that reported beneficial effects of fasting Ramadan on metabolic and inflammatory status in healthy subjects (Attarzadeh Hosseini and Hejazi, 2013;Faris et al, 2012;Lamine et al, 2006) and in patients with diabetes or metabolic syndrome (Karatoprak et al, 2013;Sahin et al, 2013;Shariatpanahi et al, 2008). Instead, we could not demonstrate in the schizophrenia patients any benefits from fasting during Ramadan in terms of the parameters studied, but we found that, especially if these patients had additionally metabolic syndrome, fasting was associated with a reduction of the useful HDL-c and BDNF levels and elevation of measurements of glucose, insulin, insulin resistance (HOMA-IR), TC, TG, LDL-c, WBCs, granulocytes, lymphocytes, monocytes, fibrinogen, BDNF and hs-CRP, as well as increased systolic and diastolic blood pressure and PANSS total and subscale scores.…”

Section: Discussioncontrasting

confidence: 99%

Effect of Ramadan fasting on anthropometric, metabolic, inflammatory and psychopathology status of Egyptian male patients with schizophrenia

Fawzi

Said

et al. 2015

Psychiatry Research

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 99%

Effect of Ramadan fasting on anthropometric, metabolic, inflammatory and psychopathology status of Egyptian male patients with schizophrenia

Fawzi

Said

et al. 2015

Psychiatry Research

View full text Add to dashboard Cite

“…(39) However, other studies have shown that insulin sensitivity improved in men with the metabolic syndrome who fast during Ramadan. (40, 41) Routine periodic fasting (fasting for 24 hours once a month) in a primarily Caucasian population was associated with a lower prevalence of diabetes. (42) It is possible that differences in duration and frequency of fasting differentially impact diabetes risk and understanding what aspects of fasting impact diabetes risk will be important.…”

Section: Discussionmentioning

confidence: 99%

Correlates of prediabetes and type II diabetes in US South Asians: findings from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study

Shah¹,

Vittinghoff²,

Kandula³

et al. 2015

Annals of Epidemiology

View full text Add to dashboard Cite

Purpose In this study, we aim to elucidate the role of sociodemographic, lifestyle and cultural factors in pre-diabetes and diabetes in South Asian immigrants to the United States (US), a population at high risk of type 2 diabetes. Methods We performed a cross-sectional analysis of a community-based cohort of 899 South Asians without known cardiovascular disease from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study. Glycemic status was determined by fasting glucose, 2-hour post-challenge glucose and use of diabetes medication. We used multinomial logistic regression models to estimate the independent associations of sociodemographic, lifestyle and cultural factors with pre-diabetes and diabetes, adjusting for confounders identified using directed acyclic graphs. Results Approximately 33% of participants had pre-diabetes and 25% had diabetes. In multivariate analyses, an independent correlate of pre-diabetes was low exercise. Additional covariates associated with diabetes included: lower family income, less education, high chronic psychological burden score, and greater time spent watching television, and fasting monthly or annually was inversely associated with diabetes prevalence. Conclusions We found several modifiable risk factors associated with pre-diabetes and diabetes that may help guide diabetes prevention interventions for South Asian immigrants to the US.

show abstract

“…Perk et al ( 25 ) found that blood pressure control in patients on medications for HTN was not affected by fasting in Ramadan. Sahin et al studied 122 patients with type 2 DM who fasted during Ramadan and showed that Ramadan fast did not interfere with control of blood glucose in these patients ( 26 ) and according to the Benaji et al ( 21 ), patients with DM, who are alert, correctly treated, and monitored closely, can fast without worsening their medical condition. Although our patients with HTN or DM (controlled with oral agents) were able to fast safely during Ramadan, we would suggest more investigations to determine whether Ramadan fast is safe in these subgroups of patients.…”

Section: Discussionmentioning

confidence: 99%

Ramadan Fast in Patients With Coronary Artery Disease

Mousavi¹,

Mirkarimi²,

Rahmani³

et al. 2014

Iran Red Crescent Med J

View full text Add to dashboard Cite

Background:Fasting during the month of Ramadan is of vital significance amongst Muslims; however, little is known about the effects of this kind of fasting on patients with coronary artery disease (CAD).Objectives:This nonrandomized prospective observational pilot study was designed to investigate the effects of Ramadan fast on the symptoms of CAD.Patients and Methods:Patients with documented CAD were consecutively (nonrandomized) included in the study, and those with heart failure (ejection fraction < 50%), renal failure, gout, and insulin-treated diabetes were excluded. Patients had the choice of fasting during Ramadan if they so wished and to break their fast as soon as symptoms such as dyspnea and chest pain occurred (fasting group) or not fasting (control group).Results:A total of 148 patients completed the study. Mean (mean ± SD) age of the patients was 61.5 ± 11.7 years and 50% were male. Finally, 66 patients (44.6%) accomplished Ramadan fast with an average of 22.27 ± 10.46 days of fasting. Occurrence of chest pain was not significantly different between the fasting and non-fasting groups (4 out of 66 [6.1%] vs. 8 out of 82 [9.8%] respectively; P = 0.42). In addition, patients who fasted during Ramadan did not experience a higher frequency of a combined endpoint of chest pain and dyspnea (4 out of 66 cases in the fasting group [6.1%] vs. 11 out of 82 in non-fasting group [13.4%]; P = 0.14).Conclusions:In the present study, the patients with CAD were able to observe Ramadan fast safely and their combined endpoint of chest pain and dyspnea was not significantly different from that of the non-fasting ones. We would suggest that patients with CAD and normal left ventricular function could fast during Ramadan.

show abstract

The Impact of Fasting during Ramadan on the Glycemic Control of Patients with Type 2 Diabetes Mellitus

Abstract: In this study, we concluded that fasting during Ramadan did not worsen the glycemic control of patients with type 2 diabetes.

Cited by 35 publications

References 3 publications

Effect of Ramadan fasting on anthropometric, metabolic, inflammatory and psychopathology status of Egyptian male patients with schizophrenia

Effect of Ramadan fasting on anthropometric, metabolic, inflammatory and psychopathology status of Egyptian male patients with schizophrenia

Correlates of prediabetes and type II diabetes in US South Asians: findings from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study

Ramadan Fast in Patients With Coronary Artery Disease

Contact Info

Product

Resources

About