Verification of 2021 IDF-DAR risk assessment tool for fasting Ramadan in patients with diabetes attending primary health care in The Kingdom of Bahrain: The DAR-BAH study
Authors' conclusion
The new IDF-DAR risk calculator is a good tool to predict both the ability to fast Ramadan and the probability of experiencing adverse events (mainly hypoglycemia) in people with diabetes mellitus in Kingdom of Bahrain.
Study context
- Population
- Adults with DM attending central diabetes clinics in primary health care, Kingdom of Bahrain, Ramadan 1444/2023; mean age 59.8 years, 52.8 % female611 included
- Participants
- 757 adults
- Comparison
- IDF-DAR risk categories: low vs moderate vs high risk
- Low riskn = 184reference
- Moderate riskn = 252
- High riskn = 225
- Outcome
- Completion of 30 days of fasting without reporting adverse events, by IDF-DAR risk category
- Follow-up
- Post-Ramadan
Methodological detailspre- and post-Ramadan questionnaires, random selection of patients
- Pre- and post-Ramadan questionnaires
- Random selection of patients
Performance
As reported in the abstract
Completed 30 days of fasting without adverse events
High risk vs Low risk: p-value of <0.001 · High risk vs Moderate risk: p-value of <0.001
Further findings
Factors increasing risk of adverse events during Ramadan fasting
- Leading factors: T1D, previous hypoglycemia attacks, renal impairment, negative previous Ramadan experience
Safety
- Main reason for breaking the fast was hypoglycemic attacks
Original publication
Verification of 2021 IDF-DAR risk assessment tool for fasting Ramadan in patients with diabetes attending primary health care in The Kingdom of Bahrain: The DAR-BAH study. Diabetes Res Clin Pract. Published 10 April 2024. doi:10. 1016/ j. diabres. 2024. 111661
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