Characteristics And Pattern Of Care Of Type 1 And 2 Diabetic Patients During Ramadan An International Prospective Study

Download or read book Characteristics and Pattern of Care of Type 1 and 2 Diabetic Patients During Ramadan: an International Prospective Study written by Hassanein Mohamed and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Characteristics and Pattern of Care of Type 1 And 2 Diabetic Patients during Ramadan;An International Prospective Observational StudyBackgroundOver 116 million Muslims with Diabetes fast from dawn to sunset during the holy month of Ramadan (a Lunar-based month) 1, 2. The CREED study reported that 94.2% of type 2 diabetes patients fast for a minimum of 15 days while 64% fast every day during Ramadan 3.Ramadan fasting may increase the risk of hypoglycemia, hyperglycemia, diabetic ketoacidosis, dehydration and thrombosis 2.To minimize these risks, HCPs must pay attention to pre-Ramadan glycemic control status, patient education, diet, physical activity, SMBG and adaptations in treatment regimen 4, 5.This raised the need for exploring real life practices to enhance evidence-based management of the disease during Ramadan fasting especially that most of the evidence is retrospective data and in need for an update 3, 6.AimsIn addition to updating description of Type 1 and Type 2 diabetic patients pattern of care, this study aimed to investigate the effect of fasting during Ramadan on glycemic control, lifestyle, body weight, treatment and patient safety.MethodsThis international, prospective, observational study recruited 1894 adult diabetic patients (Type 1 and Type 2) by 113 sites from 10 countries; Egypt, KSA, Pakistan, UAE, Jordan, Morocco, Lebanon, Kuwait, Israel and Iraq. Informed consent was obtained from all patients prior to enrollment. A total of 1885 patients were evaluable.Baseline data were collected during a visit in the six weeks prior to Ramadan and a follow-up visit was conducted at one to two months after Ramadan. Preliminary results of the study will be discussed in this abstract. ResultsOf the evaluable population, 55.6% were men. The meanu00b1 SD age was 53.5u00b1 12.5 years. Patients with type 2 diabetes constituted 92.8% of the population.Based on the data collected before Ramadan, 87.8% of the patients were on oral anti-diabetic drugs (OADs), 36.3% were on insulin and 4.9% were on GLP-1 receptor agonists. Of these patients, 24.5% were on OADs and Insulin. A total of 925 patients (49.1%) had their anti-diabetic medications/ doses changed for Ramadan (31.5% of OADs, 23.0% of insulin and 0.3% of GLP-1 receptor agonists). More than half of the patients (59.5%) reported that they had an access to Ramadan-specific diabetes education. Data collected after Ramadan showed that, 56.7% of the patients fasted everyday during Ramadan with a higher percentage (p=0.05) in type 2 patients (57.3%) compared to type 1 patients (48.5%). A similar pattern was seen for patients who fasted for a minimum of 15 days (85.3%): the percentage in type 2 patients (86.3%) was higher (p