OBJECTIVES: Ramadan is the ninth month on the lunar calendar and it is a holy month for Muslims during which all healthy adults must fast from dawn to sunset. The risk of diabetic ketoacidosis is thought to be higher during Ramadan fasting due to insulin and glucagon alterations. METHODS: A descriptive retrospective analysis of the records of all patients admitted with diabetic ketoacidosis to all Benghazi hospitals during the lunar year 1428 Hijri (2007-2008). RESULTS: Fifteen episodes occurred during Ramadan compared to a mean of 19.45 episodes/month during the other lunar months (p<0.001), and there was no significant difference in the mean age (37.6±10 vs. 38.3±19, p=0.8), mortality rate (13.3% vs.14.4%, p=0.9) or in the length of hospitalization during Ramadan. The commonest precipitating factor for diabetic ketoacidosis during Ramadan was infection (46.6%) followed by miss dosing. CONCLUSION: There was no increase in the incidence and mortality from DKA during Ramadan which might indicate that Ramadan fasting is not a significant risk factor for diabetic ketoacidosis.
OBJECTIVES: Ramadan is the ninth month on the lunar calendar and it is a holy month for Muslims during which all healthy adults must fast from dawn to sunset. The risk of diabetic ketoacidosis is thought to be higher during Ramadan fasting due to insulin and glucagon alterations. METHODS: A descriptive retrospective analysis of the records of all patients admitted with diabetic ketoacidosis to all Benghazi hospitals during the lunar year 1428 Hijri (2007-2008). RESULTS: Fifteen episodes occurred during Ramadan compared to a mean of 19.45 episodes/month during the other lunar months (p<0.001), and there was no significant difference in the mean age (37.6±10 vs. 38.3±19, p=0.8), mortality rate (13.3% vs.14.4%, p=0.9) or in the length of hospitalization during Ramadan. The commonest precipitating factor for diabetic ketoacidosis during Ramadan was infection (46.6%) followed by miss dosing. CONCLUSION: There was no increase in the incidence and mortality from DKA during Ramadan which might indicate that Ramadan fasting is not a significant risk factor for diabetic ketoacidosis.
Authors: Abbas E Kitabchi; Guillermo E Umpierrez; Mary Beth Murphy; Eugene J Barrett; Robert A Kreisberg; John I Malone; Barry M Wall Journal: Diabetes Care Date: 2004-01 Impact factor: 19.112
Authors: Ibrahim Salti; Eric Bénard; Bruno Detournay; Monique Bianchi-Biscay; Corinne Le Brigand; Céline Voinet; Abdul Jabbar Journal: Diabetes Care Date: 2004-10 Impact factor: 19.112
Authors: Syed H Ahmed; Tahseen A Chowdhury; Sufyan Hussain; Ateeq Syed; Ali Karamat; Ahmed Helmy; Salman Waqar; Samina Ali; Ammarah Dabhad; Susan T Seal; Anna Hodgkinson; Shazli Azmi; Nazim Ghouri Journal: Diabetes Ther Date: 2020-09-09 Impact factor: 2.945
Authors: Elamin I E Abdelgadir; Mohamed M Hassanein; Alaaeldin M K Bashier; Sulaf Abdelaziz; Salwa Baki; Asma Chadli; Sara Askaoui; El Ansari Nawal; Ines S Slim; El Mghari Ghizlane; Khadija Hafidh; Fatheya Alawadi Journal: J Diabetes Metab Disord Date: 2016-11-05
Authors: Rachida Roky; Nadia Aadil; Al Mehdi Krami; Brahim Benaji; Ikram Errabih; Dana N Abdelrahim; MoezAlIslam Ezzat Faris Journal: Front Nutr Date: 2022-07-01
Authors: Jamal Ahmad; Md Faruque Pathan; Mohammed Abdul Jaleel; Farah Naaz Fathima; Syed Abbas Raza; A K Azad Khan; Osama Ishtiaq; Aisha Sheikh Journal: Indian J Endocrinol Metab Date: 2012-07
Authors: Abdulwahab Elbarsha; Maisoon Elhemri; Sami A Lawgaly; Ashraf Rajab; Badia Almoghrabi; Rafik Ramadan Elmehdawia Journal: Ann Saudi Med Date: 2018 Sep-Oct Impact factor: 1.526