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Ramadan Perspective Epidemiology and Education in Diabetes (RAPEED) Study.

N I Siddiqui1, M Kamrul-Hasan, M A Hossain

  • 1Professor Md Nazrul Islam Siddiqui, Professor & Head, Department of Endocrinology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh.

Mymensingh Medical Journal : MMJ
|June 8, 2017
PubMed
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Many people with diabetes fast during Ramadan, but safe fasting practices are a challenge. This study highlights the need for better physician advice and patient awareness to prevent hypoglycemia during Ramadan fasting.

Area of Science:

  • Endocrinology
  • Public Health
  • Epidemiology

Background:

  • Ramadan fasting is a religious obligation for Muslims, with many individuals with diabetes observing it.
  • Managing diabetes during Ramadan presents unique challenges due to altered eating patterns and medication schedules.

Purpose of the Study:

  • To assess the knowledge, attitudes, and practices regarding Ramadan fasting among diabetic patients in Bangladesh.
  • To identify factors influencing safe fasting and the incidence of hypoglycemia during Ramadan.

Main Methods:

  • A retrospective cross-sectional study involving 648 diabetic patients in Bangladesh.
  • Data collected included socio-demographics, diabetes management, lifestyle changes, and hypoglycemia episodes during Ramadan.

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Main Results:

  • Most diabetic patients fasted, with many receiving physician advice and adjusting medications.
  • Despite lifestyle modifications like reduced sugar intake and increased fluids, a significant portion did not monitor blood glucose or consult physicians.
  • Hypoglycemia occurred in 14.85% of fasters, more frequently in insulin users and those receiving fasting advice.

Conclusions:

  • Safe Ramadan fasting requires enhanced patient awareness and physician expertise.
  • Improved education and communication are crucial for managing diabetes effectively during Ramadan.