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Fasting with diabetes: a prospective observational study
Muhammad Jawad Noon1, Haseeb Ahmad Khawaja2, Osama Ishtiaq3
1Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Many diabetic patients experience adverse glycaemic events like hypoglycemia and hyperglycemia when fasting regularly. Consulting a physician before fasting can reduce the risk of these events.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Public Health
Background:
- Fasting is common among diabetic patients, yet carries risks of adverse glycaemic events.
- Lack of physician consultation before fasting can lead to medication and lifestyle mismanagement.
- Understanding the prevalence of these events is crucial for patient safety.
Purpose of the Study:
- To determine the proportion of diabetic patients experiencing adverse glycaemic events during regular fasting.
- To identify factors associated with an increased risk of hypoglycaemia and hyperglycaemia.
Main Methods:
- Prospective observational study including 150 diabetic patients aged over 18.
- Patients regularly fasted and monitored daily blood glucose levels.
- Hypoglycaemic and hyperglycaemic events were primary outcomes; relative risk was calculated.
Main Results:
- 10% of participants experienced hypoglycaemia, and 3.3% had hyperglycaemic episodes.
- 8.7% discontinued fasts, but none required hospitalization.
- Pre-fasting physician consultation showed a negative association with hypoglycaemia risk (RR 0.73).
Conclusions:
- Regular fasting poses a significant risk of adverse glycaemic events for diabetic patients.
- Many patients do not consult physicians for medication/lifestyle adjustments before fasting.
- Patient education and strategic interventions are vital to prevent complications.
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