Purpose
Impact of ramadan fasting on healthy and women with diabetes is already known. However, there is a scarcity of data on impact of fasting on pregnant women with diabetes. Moreover, religious and medical recommendations advise pregnant women against fasting as it is unsafe. Despite being exempted, many pregnant Muslim women with diabetes still choose to fast during ramadan. This study investigated different glycemic marker as an indicator for diabetes control in fasting pregnant women.
Patients and Methods
This is a prospective observational study. A total of 89 pregnant diabetes women were recruited. Blood glucose was self-monitored in all the pregnant women using glucose monitoring device at home. We measure the fructosamine, HbA1c levels before, during and after ramadan.
Results
Pregnant women with type 1 diabetes were 14 (25%), type 2 diabetes were 21 (37.5%), and gestational diabetes were 21 (37.5%). The mean fructosamine level decreased during and after ramadan in gestation diabetes pregnant women compared to type 2 diabetes and type 1 diabetes pregnant women subjects (p = 0.009).
Conclusion
The present study indicates that pregnant women with diabetes were able to fast during ramadan and there fructosamine level reduced during fasting. Utilization of fructosamine for short-term monitoring of glycemic control in addition to home glucose monitoring in pregnant women with diabetes will provide a good index of glycemic control.
Recommendation
Religious and medical recommendations advise pregnant women against fasting as it is unsafe, and they are under high risk. However, if they insist to do fast, they must do under strict medical supervision and fructosamine can be used as a glycemic control marker.
Background: Neck pain is a significant disabling condition. Prevalence of neck pain is still not clearly stated in the literature due to the variation of its definition. It has a unique number of risk factors like history of neck pain, trauma, and certain sports injuries. In this study we measured the point prevalence of neck pain and the factors associated with it.
Materials and Methods: This cross-sectional observational study included a total of 461 participants. The collected data comprised participant characteristics: demographic, socioeconomical status, and nature of work. The Arabic Neck Disability Index was used to assess neck pain. Specific questions about possible associated factors were asked, such as duration of using electronics, type of posture, duration of reading.
Results: The neck pain was stated by 64.6% of the study participants. The results demonstrated that participants who reported neck pain were mostly females (70.5%), single (56.6%), or had high educational level (70.2%). Slight infrequent headaches were the most significant Neck Disability Index indicator in 39.5% of the study participants.
Conclusion: The prevalence of neck pain was 64.6%, of which, mostly were females. Body postures, reading hours, work-type, and self-rated use of cellphones and PCs were all significantly associated with neck pain. Moreover, headache, concentration, and working habits were the top most significant indicators of the NDI. However, headache was the most significant.
Calcific tendinopathy is one of the causes of shoulder pain and limited range of motion when it affects the rotator cuff tendons. Complications of such a condition are rare and include intraosseous and intramuscular migration. Calcific tendonitis can be classified as acute, subacute or chronic based on the onset of symptoms. The incidence of calcific tendonitis affects females more than males, with the median age of onset being between 40 and 60 years old. Diagnostic modalities include radiographs and computed tomography (CT); however, these are suboptimal when compared to the sensitivity of magnetic resonance imaging. Ninety percent of these cases are treated non-surgically. We present a rare case of a young female patient with right shoulder pain and limited range of motion secondary to the intraosseous migration of calcific tendonitis. The patient’s symptoms were resolved after a CT-guided percutaneous bone biopsy of the lesion. Clinical correlation with the aid of imaging and histopathology is a multimodal approach to help diagnose and treat such conditions.
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