Ramadan fasting in a sample Algerian population with diabetes
Asma Zina Belheddad1, Said Azzoug1
1Diabetes department Mustapha Hospital, Algiers, Algeria.
Diabetes Research and Clinical Practice
|May 5, 2022
Summary
Many Muslims with diabetes fast during Ramadan, despite health risks. This study found no increased acute complications in fasting individuals, but noted higher risk scores in non-fasters. Improved diabetes education is recommended.
Area of Science:
- Endocrinology
- Public Health
- Religious Studies
Background:
- Diabetes affects a significant global Muslim population.
- Ramadan fasting poses acute complication risks for diabetic individuals.
- Many Algerian Muslims with diabetes choose to fast, with limited research on their patterns.
Purpose of the Study:
- To compare general characteristics and acute complication frequency between fasting and non-fasting diabetic patients in Algeria during Ramadan.
- To analyze factors influencing fasting decisions among Algerian diabetic individuals.
Main Methods:
- A cross-sectional study conducted in 2021 in Algiers, Algeria.
- Inclusion of outpatients with Type 1 Diabetes Mellitus (T1DM) or Type 2 Diabetes Mellitus (T2DM).
- Data collection via a custom questionnaire; analysis using SPSS v.27.
Main Results:
- 458 participants (53.1% female, 88.2% T2DM, mean age 59.8 years).
- Fasting duration averaged 20.5 days; well-being and religious conviction were key motivators.
- Increased dietary/sugar intake (21.6%/42.3%), reduced sleep (34.5%), and poor medical adjustment noted.
- IDF-DAR 2021 risk score significantly lower in non-fasters; no difference in acute complication frequency.
Conclusions:
- Fasting individuals with diabetes were younger, more often male, with shorter disease duration.
- The IDF-DAR 2021 risk score was higher in non-fasting participants.
- Acute diabetes-related complications were not more frequent in the fasting group.
- Enhanced access and adherence to pre-Ramadan diabetes self-management education are crucial.
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