Diabetes and Ramadan: Utility of flash-glucose monitoring derived markers of glycaemic control and comparison with glycosylated haemoglobin

Saadane, Ilham; Ashraf, Tanveer; Ali, Tomader; Lessan, Nader

doi:10.1016/j.diabres.2019.05.020

Cited by 7 publications

(4 citation statements)

References 32 publications

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“…Previous CGM studies on insulin-treated patients have reported that RF is associated with an increased percentage of time spent in hyperglycemia and a reduced percentage of time spent in the target range. 19,22 Nonetheless, several studies reported fewer hypoglycemia episodes and improved glycemic variabilities among CSII-treated patients, 2,17 which could be attributed to the benefits of reducing basal insulin infusion rates or suspending it to avoid hypoglycemia episodes during fasting. 16 Time in range has been recently approved as an outcome measure for glycemic control in clinical trials, 23 which enhances the effectiveness of CGM metrics by establishing treatment goals for the patients.…”

Section: Discussionmentioning

confidence: 99%

Effects of Alternate Insulin Pump Settings in Patients With Type 1 Diabetes During Ramadan: A Randomized Pilot Study

AlGhatam

O’Keeffe

Husain

2021

J Diabetes Sci Technol

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Background: Various studies have evaluated the safety and efficacy of using insulin pumps during Ramadan; some of them demonstrated favorable outcomes in reducing hypoglycemia and hyperglycemia. However, there is no consensus on the recommendations for basal insulin adjustments and the utilization of technical features of insulin pumps to improve glycemic control. Objectives: We aimed to investigate the effects of different insulin pump settings on time in range in patients with type 1 diabetes during Ramadan. Methods: In this randomized pilot study, 30 patients classified to have low to moderate risk for fasting were assigned to either a control group to receive basal insulin adjustments only or an intervention group to use the temporary basal rate and extended bolus features in addition to the basal insulin modifications. The percentage of time spent at different glucose ranges was measured by continuous glucose monitoring. Results: The percentage of time spent within target (70-180 mg/dL) increased significantly in the intervention group from 63.0 ± 10.7 to 76 ± 16.2% (mean difference, 27% points; P < .001). The percentage of time spent in hyperglycemia level 1 (>180 mg/dL) and level 2 (>250 mg/dL) met the criterion of significance, indicating that the intervention group spent less time in hyperglycemia. However, there was no significant difference in the percentage of time spent in hypoglycemia ranges. Conclusions: Incorporating technological approaches of pump therapy with clinical practice guidelines could improve glycemic control during Ramadan.

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Section: Discussionmentioning

confidence: 99%

Effects of Alternate Insulin Pump Settings in Patients With Type 1 Diabetes During Ramadan: A Randomized Pilot Study

AlGhatam

O’Keeffe

Husain

2021

J Diabetes Sci Technol

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“…Inappropriate timing and inadequate dosing of glucose‐lowering medication may also be important contributors to this rise. Figure adapted from Lessan et al 44 and Saadane et al 69 …”

Section: Metabolic Syndrome and Clinical Implications: Metabolic Synd...mentioning

confidence: 99%

Chrononutrition in the context of Ramadan: Potential implications

Ali,

Lessan

2023

Diabetes Metabolism Res

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Every year, healthy adult Muslims practice dawn to sunset fasting for a whole lunar month. No food or fluid is allowed for the fasting time window. After sunset, eating is allowed. The dramatic change in the timing of meals is accompanied by changes in sleeping hours and thus alterations in circadian rhythms. Hormonal mechanisms mainly determined by the latter also change. These include shifts in cortisol and melatonin. Food‐dependent hormones such as Ghrelin and leptin also show changes. A well‐established principle of chrononutrition is that the timing of eating may be as or more important than the content of food. Ramadan fasting (RF) is distinct from other forms of intermittent fasting, although there are also some similarities with time restricted eating (TRE). Both have been shown to have health benefits. Here, we examine existing literature to understand and learn from this very commonly practiced form of fasting and its relationships to circadian rhythms and homoeostatic mechanisms.

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“…3,4 However, some research works have indicated that it negatively affects blood sugar levels in insulin-using patients with diabetes. 5,6 Even though Muslims whose health may deteriorate because of fasting may be exempt from it, a great number of people with chronic diseases do fast, and some even go against their doctors' recommendation of refraining from fasting. 7 Although many studies performed investigated the effects of Ramadan Fasting; 8 in our study we aimed to investigate the effects of Ramadan Fasting on Patients with Chronic Diseases and their experience during fasting.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluating the effect of Ramadan Fasting on patients with chronic diseases

et al. 2021

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Objective: The study aimed to investigate the effect of Ramadan Fasting on Patients with Chronic Diseases and their experience during fasting. Methods: This study was a descriptive research that used a researcher-designed questionnaire in face-to-face interviews with individuals who have at least one chronic disease and visit, for any reason, the Istanbul Sisli Etfal Training and Research Hospital polyclinics. We first asked each participant about fasting during Ramadan. If the participant was not fasting, we asked only the reason(s) and collected socio-demographic data. If a participant was fasting, we administered a researcher-designed questionnaire in face-to-face interviews. Our survey consisted of 19 questions that were designed to evaluate the fasting behaviors, current chronic disease and treatment status of individuals, encountered complications during fasting and their socio-demographic data. Results: The study participants were 253 people (168 females [66.4%]; mean age: 58.06 ± 11,13) with non-infectious diseases. One hundred sixty (63.2%) participants were fasting during Ramadan and 33 of them (20.6%) had consulted a doctor before fasting, 62.5% (n = 100) said they never faced any symptoms during fasting. Most experienced symptom during fasting was fatigue (56.7%; n = 34). A significant relationship occurred between experiencing symptoms while fasting and gender (p = 0.023) and waking regularly for sahur (p = 0.029). Conclusions: Many people with chronic diseases fast and experience symptoms while fasting. Being woman and not waking up for sahur was related with the symptoms during Ramadan fasting. Most participants with NIDs fasted during Ramadan without consulting their doctors. doi: https://doi.org/10.12669/pjms.37.4.3199 How to cite this:Ozturk GZ, Egici MT, Sagsoz O, Bukhari MH. Evaluating the effect of Ramadan Fasting on patients with chronic diseases. Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.3199 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Diabetes and Ramadan: Utility of flash-glucose monitoring derived markers of glycaemic control and comparison with glycosylated haemoglobin

Cited by 7 publications

References 32 publications

Effects of Alternate Insulin Pump Settings in Patients With Type 1 Diabetes During Ramadan: A Randomized Pilot Study

Effects of Alternate Insulin Pump Settings in Patients With Type 1 Diabetes During Ramadan: A Randomized Pilot Study

Chrononutrition in the context of Ramadan: Potential implications

Evaluating the effect of Ramadan Fasting on patients with chronic diseases

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