M Y Ahmedani1, S F D Alvi2. 1. Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan. 2. Research Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.
Abstract
AIMS: To observe characteristics of fasting patients, trends of Ramadan-specific diabetes education and implementation of diabetes management recommendations in patients with diabetes during Ramadan. METHODOLOGY: This observational study was conducted in seven countries. Patients were recruited in the study immediately after the end of Ramadan (August 2014) until December 2014. Standardized questionnaire-based, face-to-face interview conducted on one-to-one basis. An identical questionnaire used in each country. RESULTS: A total of 6610 patients with diabetes participated in the survey. Ramadan-specific diabetes education was received by 3142 (47.5%) patients, drug dosage and timings altered in 4371 (66.1%) patients and dietary advice received by 4636 (70.1%) patients with diabetes before Ramadan. Severe hypoglycaemia observed in 29 (1.0%) patients and severe hyperglycaemia noticed in 44 (1.7%) patients with diabetes during Ramadan. Patients who received Ramadan-specific diabetes education before Ramadan were significantly better (p < 0.0001) in following Ramadan-specific diabetes management recommendations during Ramadan. On further analysis, patients who received Ramadan-specific diabetes education through any mode i.e. one to one session, group session or written education material were found to be significantly better (p < 0.05) in following Ramadan-specific diabetes management recommendations during Ramadan compared with patients who did not receive education. CONCLUSION: It was observed that patients who received Ramadan-specific diabetes education followed Ramadan-specific diabetes management recommendations better compared with patients who did not receive education. Ramadan-specific diabetes management recommendations are still not completely implemented.
AIMS: To observe characteristics of fasting patients, trends of Ramadan-specific diabetes education and implementation of diabetes management recommendations in patients with diabetes during Ramadan. METHODOLOGY: This observational study was conducted in seven countries. Patients were recruited in the study immediately after the end of Ramadan (August 2014) until December 2014. Standardized questionnaire-based, face-to-face interview conducted on one-to-one basis. An identical questionnaire used in each country. RESULTS: A total of 6610 patients with diabetes participated in the survey. Ramadan-specific diabetes education was received by 3142 (47.5%) patients, drug dosage and timings altered in 4371 (66.1%) patients and dietary advice received by 4636 (70.1%) patients with diabetes before Ramadan. Severe hypoglycaemia observed in 29 (1.0%) patients and severe hyperglycaemia noticed in 44 (1.7%) patients with diabetes during Ramadan. Patients who received Ramadan-specific diabetes education before Ramadan were significantly better (p < 0.0001) in following Ramadan-specific diabetes management recommendations during Ramadan. On further analysis, patients who received Ramadan-specific diabetes education through any mode i.e. one to one session, group session or written education material were found to be significantly better (p < 0.05) in following Ramadan-specific diabetes management recommendations during Ramadan compared with patients who did not receive education. CONCLUSION: It was observed that patients who received Ramadan-specific diabetes education followed Ramadan-specific diabetes management recommendations better compared with patients who did not receive education. Ramadan-specific diabetes management recommendations are still not completely implemented.
Authors: Nazim Ghouri; Sufyan Hussain; Ruzwan Mohammed; Salem Arifi Beshyah; Tahseen A Chowdhury; Naveed Sattar; Aziz Sheikh Journal: BMJ Open Diabetes Res Care Date: 2018-06-04