Type 2 & other diabetes

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 PractPublished Prospective validation 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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