Risk Stratification, Intention to Fast, and Outcomes of Fasting During Ramadan in People With Diabetes Presenting to a Tertiary Care Hospital
Authors' conclusion
A statistically significant number of participants in the high-risk group who fasted experienced complications. This reiterates the importance of rigorous adherence to the medical recommendations.
Study context
- Population
- Patients of either sex aged 18 to 80 years with any type of diabetes mellitus (DM) at a tertiary care hospital in Pakistan, Ramadan 202362.2% female
- Participants
- 460 patients
- Exposure
- Low risk vs Moderate risk vs High risk
- Low riskn = 209
- Moderate riskn = 107
- High riskn = 144
- Outcome
- IDF-DaR 2021 risk categorization
Methodological detailssingle-centre, tertiary care hospital, 3-month study, 6 weeks before until 6 weeks after Ramadan (February 9 to May 6, 2023)
- Single-centre
- Tertiary care hospital
- 3-month study, 6 weeks before until 6 weeks after Ramadan (February 9 to May 6, 2023)
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
Fasting recommendation vs risk category, intention to fast, hypoglycemia, type and duration of DM, glycemic control, days of fasting
- Statistically significant differences
- P < 0.001
Safety
- Hypoglycemia in high-risk patients who fasted · Ramadan — High risk
- 57.9%
- Hypoglycemia in high-risk patients who fasted — P value
- P <.0001
Original publication
Risk Stratification, Intention to Fast, and Outcomes of Fasting During Ramadan in People With Diabetes Presenting to a Tertiary Care Hospital. Endocr Pract. Published 4 July 2024. doi:10. 1016/ j. eprac. 2024. 06. 013
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