Type 2 & other diabetes

Risk Stratification, Intention to Fast, and Outcomes of Fasting During Ramadan in People With Diabetes Presenting to a Tertiary Care Hospital

Endocr PractPublished Prospective cohort study

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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