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Type 2 diabetes patient's perspective on Ramadan fasting: a qualitative study
Jun Yang Lee1, Chee Piau Wong2, Christina San San Tan3
1School of Pharmacy, Monash University, Subang Jaya, Selangor, Malaysia.
Muslim patients with type 2 diabetes mellitus (T2DM) are optimistic about fasting during Ramadan, often self-managing medication. Collaboration with religious leaders is recommended for better patient education.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Religious Studies
Background:
- Ramadan fasting is a religious obligation for Muslims.
- Type 2 diabetes mellitus (T2DM) affects a significant portion of the Muslim population.
- Fasting during Ramadan presents unique challenges for individuals with T2DM.
Purpose of the Study:
- To evaluate the beliefs, experiences, and diabetes management strategies of Muslim patients with T2DM who fast during Ramadan.
- To understand patient perspectives on fasting and its impact on their health.
- To identify areas for improved patient education and support.
Main Methods:
- A qualitative study using semistructured focus group interviews.
- 53 participants with T2DM were purposefully sampled.
- Thematic analysis of transcribed interviews.
Main Results:
- Participants expressed optimism about fasting, viewing it as beneficial for well-being and family bonding.
- Limited consultation with healthcare providers regarding fasting decisions.
- Self-adjustment of medication based on personal experience and symptoms.
- Challenges in dietary management due to fear of hypoglycemia and social aspects of fasting.
Conclusions:
- Muslim patients with T2DM generally have positive beliefs about Ramadan fasting.
- Many patients proceed with fasting despite medical advice against it.
- Enhanced collaboration between healthcare providers and religious authorities is crucial for pre-Ramadan patient education.
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