Assessment of Ramadan Education and Knowledge Among Diabetic Patients

Almalki, Mussa; Hussen, Ibtihal; Khan, Shawana; Almaghamsi, Abdulrahman; Alshahrani, Fahad

doi:10.1177/1179551417751611

Cited by 26 publications

(18 citation statements)

References 18 publications

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“…This study was carried out among 125 type 2 diabetes attending RUHDC and more than half of the patients in this study had poor hypoglycemia symptoms knowledge and these findings was less than reported by Almalki et al [17] who reported 85% of patients had sufficient knowledge about the symptoms of hyperglycemia and this high percent is attributed to the fact that more than half of his patients received information about diabetes management from medical providers. On the other hand, Kazi and his colleagues [18] reported only 17.2%, whilst El-Khawaga from Egypt reported 48.1% [19].…”

Section: Discussionmentioning

confidence: 54%

Assessing Knowledge of Hypoglycemia Symptoms among Type 2 Diabetic Patients Using Insulin, Khartoum, Sudan

Madani¹,

Mahmoud²,

Abdelrahim³

et al. 2019

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Background: Hypoglycemia is a traumatic dilemma that has a critical impact on not only the patient's quality of life but also their families and communities. Improving Patient's awareness and knowledge regarding hypoglycemia symptoms is crucial to avoid serious implications like loss of consciousness and even death. Objective: This study aimed to assess patients' knowledge of hypoglycemia symptoms and source of diabetes information among insulin users type 2 diabetes. Methods: A single centre, hospital-based, analytical, and cross-sectional study was carried out among diabetic patients using insulin attended to Ribat University Hospital Diabetes Clinic (RUHDC), Khartoum State, Sudan during a period of study. A validated questionnaire was used to obtain socio-demographic characteristics of respondents and the patients' knowledge regarding hypoglycemia symptoms was assessed whether good, medium or poor. Data were analyzed, using (SPSS). Descriptive (frequencies) and inferential statistics (association used chi-square) were used at a level of confidence p ≤ 0.05. Results: A majority of patients (52%) had poor knowledge of hypoglycemia symptoms and the common symptoms known to patients were hands tremor (67.2%), blurred vision (52.8%) and sweating (65.6%). No associations were found among hypoglycemia symptoms knowledge, socio-demographic and diabetes duration. Only (25.6%) had regular visiting to educating center and physicians were the major source of diabetes knowledge (74.4%). Conclusion: This study proved low patients hypoglycemia symptoms knowledge and physician were the main sources of informa-How to cite this paper:

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Section: Discussionmentioning

confidence: 54%

Assessing Knowledge of Hypoglycemia Symptoms among Type 2 Diabetic Patients Using Insulin, Khartoum, Sudan

Madani¹,

Mahmoud²,

Abdelrahim³

et al. 2019

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“…To achieve the objectives of this study, the investigators constructed a questionnaire in Arabic language based on relevant studies. [89101112131415] The questionnaire consisted of five parts as following: the first part was about the demographic variables (age, sex, educational status, marital status. The second part dealt with patient health data (type of DM, duration, history of chronic health problems, types of drugs in use).…”

Section: Methodsmentioning

confidence: 99%

“…Despite the seriousness of hypoglycemia and its bad consequences among diabetics during Ramadan, it still needs more research as few studies were conducted in Saudi Arabia to explore this subject. [7891011] To our current knowledge, there was no single study conducted on this topic in southern region of KSA. This study aims to explore the incidence of hypoglycemia and its risk factors among diabetic patients during Ramadan in Abha city, Aseer region, Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

Incidence of hypoglycemia and its risk factors among diabetics during Ramadan in Abha city, Aseer Region, KSA

Al-Khaldi

AlKhaldi

Alqahtani

et al. 2019

J Family Med Prim Care

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Background and Aims:This study aims to explore the incidence of hypoglycemia and its risk factors among diabetic patients attending primary health care center during Ramadan Abha city, Aseer region, Saudi Arabia.Methods:This cross-sectional study was conducted among adult diabetic patients attending Primary health care centers (PHCCs) in Abha city, southwest of KSA. A questionnaire in Arabic language was used. It consisted of five parts that covered patients demographic and DM relevant profile, hypoglycemia attacks during Ramadan, compliance with drug, diet, exercise and glucose monitoring. Four PHCCs in Abha city were selected randomly to conduct this study. All diabetic patients who attended the selected PHCCs during the month of Shawwal 1439 (corresponding to June-July 2018) were interviewed by the investigators. Data were coded, entered and analyzed using SPSS version 22. Appropriate statistical tests were used accordingly and P value was considered as significant if it was less than 5%.Results:The total patients participated in this study was 378. The mean age was 45 years, males represents 51%, mean duration of DM was 12 years, type-1DM constitutes about one third. Most of type-1 DM patients used act rapid and long acting insulin (65%), while in type-2 DM, more than one third (38%) used OHA, 8% were on insulin alone. More than half of patients (52%) reported at least one attack of hypoglycemia during Ramadan, (29%) out of them had more than four attacks. About two third of attacks (67%) occurred in the morning and evening while less than one fourth have hypoglycemia at night (17%), (2%) visited ER or PHC and 1% were admitted to hospital for further management.Conclusion:This study revealed that the incidence of hypoglycemia among diabetics was high. Many Risk factors were identified; young age, type-1 DM, long duration of DM, insulin use. More attacks occurred during Ramadan day period and led to breaking the fasting among all affected patients. Most of patients were not given instructions regarding self-care immediately before or during Ramadan. Structured health education program for diabetics attending PHCC should be constructed and implemented before beginning of Ramadan in order to minimize the incidence of acute complications particularly hypoglycemia.

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“…Low socioeconomic status (SES), place of residence, education, sex, level of awareness, poor nutrition, poor health behaviors (eg, tobacco use), a “fatalistic attitude”, and self‐care affect prevention, and can lead to poor compliance with treatment, poor control, and increased complications of diabetes in developing countries . Inconsistencies regarding diets in the management of diabetes (eg, religious fasting and traditionally held misconceptions) hinder the achievement of proper glycemic control (Table ).…”

Section: Managementmentioning

confidence: 99%

Diabetes in developing countries

Misra

Gopalan

Jayawardena

et al. 2019

Journal of Diabetes

182

129

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Highlights• Diabetes in developing countries is increasing and often undiagnosed. In South Asians, diabetes and related metabolic abnormalities develop at a younger age and at a lower body mass index and waist circumference than in Whites. • Overall glycemic control and management of diabetes is suboptimal, driven by multiple factors (eg, unawareness, cost of drugs and insulin etc.), and the load of complications is high. • To stem this epidemic, strong actions for prevention and management are required using innovative and low-cost approaches. AbstractThere has been a rapid escalation of type 2 diabetes (T2D) in developing countries, with varied prevalence according to rural vs urban habitat and degree of urbanization. Some ethnic groups (eg, South Asians, other Asians, and Africans), develop diabetes a decade earlier and at a lower body mass index than Whites, have prominent abdominal obesity, and accelerated the conversion from prediabetes to diabetes. The burden of complications, both macro-and microvascular, is substantial, but also varies according to populations. The syndemics of diabetes with HIV or tuberculosis are prevalent in many developing countries and predispose to each other. Screening for diabetes in large populations living in diverse habitats may not be cost-effective, but targeted high-risk screening may have a place. The cost of diagnostic tests and scarcity of health manpower pose substantial hurdles in the diagnosis and monitoring of patients. Efforts for prevention remain rudimentary in most developing countries. The quality of care is largely poor; hence, a substantial number of patients do not achieve treatment goals. This is further amplified by a delay in seeking treatment, "fatalistic attitudes", high cost and non-availability of drugs and insulins. To counter these numerous challenges, a renewed political commitment and mandate for health promotion and disease prevention are urgently needed. Several low-cost innovative approaches have been trialed with encouraging outcomes, including training and deployment of non-medical allied health professionals and the use of mobile phones and telemedicine to deliver simple health messages for the prevention and management of T2D.

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Assessment of Ramadan Education and Knowledge Among Diabetic Patients

Cited by 26 publications

References 18 publications

Assessing Knowledge of Hypoglycemia Symptoms among Type 2 Diabetic Patients Using Insulin, Khartoum, Sudan

Assessing Knowledge of Hypoglycemia Symptoms among Type 2 Diabetic Patients Using Insulin, Khartoum, Sudan

Incidence of hypoglycemia and its risk factors among diabetics during Ramadan in Abha city, Aseer Region, KSA

Diabetes in developing countries

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