Shabeen Naz Masood1, Syed Faraz Danish Alvi2, Muhammad Yakoob Ahmedani3, Shazia Kiran4, Nimra Fatima Zeeshan2, Abdul Basit5, A Samad Shera6. 1. The Aga Khan Hospital for Women (Garden), U-19, Hasan Apartment Extension, Hasan Square, Gulshan-e-Iqbal Block 13-D, Karachi, Pakistan. 2. Research Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Plot No. 1-2, II-B, Nazimabad No 2, Karachi 74600, Pakistan. 3. Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Plot No. 1-2, II-B, Nazimabad No 2, Karachi 74600, Pakistan. Electronic address: research@bideonline.com. 4. The Aga Khan Hospital, Karachi, Pakistan. 5. Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Plot No. 1-2, II-B, Nazimabad No 2, Karachi 74600, Pakistan. 6. Honorary President International Diabetes Federation, Secretary General, Diabetic Association of Pakistan, and WHO Collaborating Centre, Karachi, Pakistan.
Abstract
AIMS: To compare Ramadan-specific education level in fasting patients with diabetes at a Primary and a Tertiary care center. METHODOLOGY: An observational study was conducted in the Outpatient departments of a Primary care center and a Tertiary care center in Karachi-Pakistan. Recruitment of patients started at the end of Ramadan 2011 and continued till three months after Ramadan 2011. All patients with diabetes who observed fast during the month of Ramadan 2011 were included in the study. In Primary care center, patients were attended by physicians only, while at Tertiary care center patients were seen by physicians, diabetes educator and dietician. For data collection, standardized questionnaire based interview was conducted on one to one basis by trained healthcare professionals. Same questionnaire was used at both the centers. RESULTS: A total of 392 and 199 patients with diabetes recruited at Primary and Tertiary care centers, respectively. Ramadan-specific diabetes education received by 213 (55%) and 123 (61.80%) patients with diabetes at Primary and Tertiary care centers, respectively. Compared to Primary care center, patients at Tertiary care centers were more aware about components of Ramadan-specific diabetes education such as signs and symptoms of hypoglycemia and hyperglycemia, dose of medicines/insulin during Ramadan fasting, dose of medicines/insulin when not fasting, self-monitoring of blood glucose, dietary modifications, physical activity, adequate nutrition and adequate hydration during Ramadan (p<0.05). CONCLUSION: It was observed that Ramadan-specific education level of patients at Tertiary care center was significantly better compared to patients at Primary care center.
AIMS: To compare Ramadan-specific education level in fasting patients with diabetes at a Primary and a Tertiary care center. METHODOLOGY: An observational study was conducted in the Outpatient departments of a Primary care center and a Tertiary care center in Karachi-Pakistan. Recruitment of patients started at the end of Ramadan 2011 and continued till three months after Ramadan 2011. All patients with diabetes who observed fast during the month of Ramadan 2011 were included in the study. In Primary care center, patients were attended by physicians only, while at Tertiary care center patients were seen by physicians, diabetes educator and dietician. For data collection, standardized questionnaire based interview was conducted on one to one basis by trained healthcare professionals. Same questionnaire was used at both the centers. RESULTS: A total of 392 and 199 patients with diabetes recruited at Primary and Tertiary care centers, respectively. Ramadan-specific diabetes education received by 213 (55%) and 123 (61.80%) patients with diabetes at Primary and Tertiary care centers, respectively. Compared to Primary care center, patients at Tertiary care centers were more aware about components of Ramadan-specific diabetes education such as signs and symptoms of hypoglycemia and hyperglycemia, dose of medicines/insulin during Ramadan fasting, dose of medicines/insulin when not fasting, self-monitoring of blood glucose, dietary modifications, physical activity, adequate nutrition and adequate hydration during Ramadan (p<0.05). CONCLUSION: It was observed that Ramadan-specific education level of patients at Tertiary care center was significantly better compared to patients at Primary care center.
Authors: Aminu K Bello; Julia Kurzawa; Mohamed A Osman; Michelle E Olah; Anita Lloyd; Natasha Wiebe; Syed Habib; Uwais Qarni; Soroush Shojai; Robert P Pauly Journal: BMJ Open Date: 2019-08-24 Impact factor: 2.692
Authors: Sueziani B Zainudin; Khalishah Nadhirah B Abu Bakar; Salmiah B Abdullah; Aslena B Hussain Journal: Ther Adv Endocrinol Metab Date: 2018-06-12 Impact factor: 3.565
Authors: Rayyan M Al-Musally; Mais A Al-Sardi; Zainab A Al-Elq; Afnan H Elahi; Rawan K Alduhailan; Muslim A Al-Elq; Fatma A Zainuddin; Noura A Alsafar; Jannat A Altammar; Abdulmohsen H Al-Elq Journal: J Family Community Med Date: 2017 May-Aug