Beliefs of People With Diabetes About Skin Prick During Ramadan Fasting

Masood, Shabeen Naz; Sheikh, Muhammad Adil; Masood, Yasir; Hakeem, Rubina; Shera, A. Samad

doi:10.2337/dc13-2277

Cited by 19 publications

(22 citation statements)

References 3 publications

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“…Self-monitoring of blood glucose SMBG forms the cornerstone of the management of diabetes, both during and outside of fasting. Although there is a misconception that pricking the skin for monitoring glycemic control invalidates the fast, religious authorities agree that this is not the case (43). Another commonly held myth that makes people minimize SMBG checks is that they may have to break their fast on finding out about their hypoglycemic episodes if they were to check frequently.…”

Section: Monitoring Glycemic Control While Fasting During Ramadanmentioning

confidence: 99%

Diabetes Canada Position Statement for People With Types 1 and 2 Diabetes Who Fast During Ramadan

Bajaj

Abouhassan

Ahsan

et al. 2019

Canadian Journal of Diabetes

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Section: Monitoring Glycemic Control While Fasting During Ramadanmentioning

confidence: 99%

Diabetes Canada Position Statement for People With Types 1 and 2 Diabetes Who Fast During Ramadan

Bajaj

Abouhassan

Ahsan

et al. 2019

Canadian Journal of Diabetes

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“…Despite 57% of the study population being literate, 77% of patients did not perform blood glucose monitoring. A large number of patients with diabetes who did not perform monitoring believed that skin pricking during fasting would make the fast void; as a consequence, 40% of participants who were taking insulin never checked their blood glucose levels during fasting 6. The low rates of glucose monitoring may result in a higher risk of hypoglycemia in insulin-treated patients with diabetes 33…”

Section: Misconceptions About Drawing Blood and Insulin Injections Dumentioning

confidence: 99%

“…A large number of patients with diabetes who did not perform monitoring believed that skin pricking during fasting would make the fast void; as a consequence, 40% of participants who were taking insulin never checked their blood glucose levels during fasting. 6 The low rates of glucose monitoring may result in a higher risk of hypoglycemia in insulintreated patients with diabetes. 33 To prevent hypoglycemia in diabetes during fasting, healthcare providers need to emphasize the importance of regular glucose monitoring for maintenance of normoglycemia and that skin pricking during fasting does not invalidate the fasting state.…”

Section: Misconceptions About Drawing Blood and Insulin Injections Dumentioning

confidence: 99%

Recommendations for management of diabetes during Ramadan: update 2015

Ibrahim¹,

Magd

Annabi

et al. 2015

BMJ Open Diab Res Care

119

125

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Since the first ADA working group report on the recommendations for management of diabetes during Ramadan in 2005 and our update in 2010, we received many inquiries asking for regular updates on information regarding education, nutritional habits and new oral and injectable agents that may be useful for the management of patients with diabetes during Ramadan. Patients can be stratified into their risk of hypoglycemia and/or complications prior to the start of the fasting period of Ramadan. Those at high risk of hypoglycemia and with multiple diabetic complications should be advised against prolonged fasting. Even in the lower hypoglycemia risk group, adverse effects may still occur. In order to minimize adverse side effects during fasting in patients with diabetes and improve or maintain glucose control, education and discussion of glucose monitoring and treatment regimens should occur several weeks prior to Ramadan. Agents such as metformin, thiazolidinediones and dipeptidyl peptidase-4 inhibitors appear to be safe and do not need dose adjustment. Most sulfonylureas may not be used safely during Ramadan except with extreme caution; besides, older agents, such as chlorpropamide or glyburide, should not be used. Reduction of the dosage of sulfonylurea is needed depending on the degree of control prior to fasting. Misconceptions and local habits should be addressed and dealt with in any educational intervention and therapeutic planning with patients with diabetes. In this regard, efforts are still needed for controlled prospective studies in the field of efficacy and safety of the different interventions during the Ramadan Fast.

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“…Not only that, most had not sought medical advices for medication regime change prior to fasting (Gaborit et al 2011;Yaacob et al 2007;Savas 2016). Most patients did not perform SMBG monitoring during Ramadan even though this test does not nullify fasting (Gaborit et al 2011;Salti et al 2004;Masood et al 2014). However, this could be because SMBG monitoring was not indicated as 62.8% of the patients in this study were not on insulin (Ministry of Health Malaysia (c) 2014).…”

Section: Discussionmentioning

confidence: 95%

Factors Associated with Successful Fasting among Type 2 Diabetic Mellitus Patients during Ramadan: A Retrospective Recall Study

Leow¹,

Tong²

2019

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Pesakit kencing manis yang berpuasa mempunyai risiko keotasidosis, hipoglisemia dan kekurangan air. Kajian secara kawalan rawak dan kajian prospektif menunjukkan bahawa nasihat intensif sebelum Ramadan dapat membantu pesakit berjaya berpuasa. Tetapi, kajian observasi menunjukan bahawa banyak pesakit yang masih berjaya berpuasa hampir genap sebulan semasa bulan Ramadan tanpa pengetahuan berpuasa dan amalan hidup yang baik. Kajian ini dijalankan untuk meneroka faktor-faktor lain yang berkaitan dengan puasa yang berjaya. Kajian retrospektif ini dijalankan di Klinik Kesihatan Jalan Perak, Pulau Pinang. Sejumlah 113 orang pesakit telah menyertai kajian ini secara persampelan konvenien. Puasa yang berjaya ditakrifkan sebagai pesakit berpuasa tanpa berbuka atas gejala gula rendah atau tinggi, atau kemasukan hospital akibat daripada komplikasi kencing manis. Regresi logistik berganda digunakan untuk menguji kaktor-faktor yang berkait dengan puasa yang berjaya. Sebanyak 70.9% (n=80) pesakit berjaya berpuasa. Pengetahuan dan amalan puasa pesakit tiada kaitan dengan puasa yang berjaya. Tetapi, pesakit yang mengetahui nama ubat kencing manis (AOR=8.56, 95%CI: 2.04; 35.8, p=0.003) adalah berkaitan dengan puasa yang berjaya. Kita bercadang untuk menilai pemahaman pesakit tentang ubat-ubatan untuk mengenal pasti pesakityang mugkin tidak dapat Berjaya berpuasa supaya mereka mendapatkan kaunseling sebelum ramadan. Tetapi, nasihat berpuasa yang penuh adalah lebih bagus jika masa dan sumber tidak menjadi isu.

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Beliefs of People With Diabetes About Skin Prick During Ramadan Fasting

Abstract: Figure 1-Risk-based categorization of people with diabetes according to their belief about skin prick during Ramadan fasting. care.diabetesjournals.org Masood and Associates e69

Cited by 19 publications

References 3 publications

Diabetes Canada Position Statement for People With Types 1 and 2 Diabetes Who Fast During Ramadan

Diabetes Canada Position Statement for People With Types 1 and 2 Diabetes Who Fast During Ramadan

Recommendations for management of diabetes during Ramadan: update 2015

Factors Associated with Successful Fasting among Type 2 Diabetic Mellitus Patients during Ramadan: A Retrospective Recall Study

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