ISPAD Clinical Practice Consensus Guidelines: Fasting during Ramadan by young people with diabetes

Deeb, Asma; Elbarbary, Nancy; Smart, Carmel E.; Beshyah, Salem A; Habeb, Abdelhadi; Kalra, Sanjay; Alwan, Ibrahim Al; Babiker, Amir; Amoudi, Reem Al; Pulungan, Aman B; Humayun, Khadija Nuzhat; Issa, Umer; Jalaludin, Muhammad Yazid; Sanhay, Rakesh; Akanov, Zhanay; Krogvold, Lars; Beaufort, Carine de

doi:10.1111/pedi.12920

Cited by 28 publications

(36 citation statements)

References 61 publications

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“…However, this would require greater adjustments to their diabetes control to realize better QoL when fasting. 19 Moreover, children with T1D who intended to observe Ramadan fasting should be psychosocially supported to override this upcoming challenge. Although we have not assessed QoL scores during Ramadan in this study, our findings suggest that observing fasting for the first time can be associated with poorer QoL scores as a significant challenge in their lives.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Glycemic Control in Saudi Children with Type 1 Diabetes at Different Developmental Age Groups

Babiker

Aqeel

Marie

et al. 2021

Clin Med Insights Endocrinol Diabetes

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Background: Children with type 1 diabetes (T1D) at different stages of development have age-specific needs, which can influence their perception of quality of life (QoL). In our study, we aimed to emphasize these age-specific needs and assess the perception of QoL in Saudi children with T1D, as well as their parents correlating QoL scores with children’s glycemic control. Methods: This is a cross-sectional study in which children with T1D and their parents from 2 tertiary institutes in Saudi Arabia have answered a standard diabetes-specific QoL questionnaire (PedsQL™ 3.0 diabetes module, translated in Arabic). We also reported glycated hemoglobin (HbA1c) results for these children within a month of completing the questionnaire. The QoL total aggregate and domain scores for self (children) and proxy (parents’) reports were compared and correlated with children’s HbA1c. Results: A sample was 288 self and proxy reports from 144 children with T1D of 3 age groups: 5 to 7 years (7%), 8 to 12 years (49%), and 13 to 18 years (44%), and their parents. QoL differed significantly between self and proxy reports in the total aggregate and domain scores ( P-values range from .02 to <.001). The impact on QoL was significantly higher in female patients ( P = .043). Insulin pump users had better HbA1c ( P = .007), and HbA1c level was worse in those who intended to fast at Ramadan ( P = .005). Conclusion: Children with T1D at different developmental age groups perceive QoL differently than their parents. Adjusting management as per age-specific challenges could potentially improve these children’s QoL and glycemic control.

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Section: Discussionmentioning

confidence: 99%

Quality of Life and Glycemic Control in Saudi Children with Type 1 Diabetes at Different Developmental Age Groups

Babiker

Aqeel

Marie

et al. 2021

Clin Med Insights Endocrinol Diabetes

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“…Therefore, it is recommended to perform pre-Ramadan counseling for the patients and adjusting the insulin pump settings. Measuring physicians' knowledge and attitude in this subject was not tested in the study but can be addressed in future research [14,15].…”

Section: Discussionmentioning

confidence: 99%

Are Physicians in Saudi Arabia Ready for Patients with an Insulin Pump? An Examination of Physician Knowledge and Attitude

Alaqeel

Almushaigeh

Almijmaj

et al. 2020

IJERPH

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Aims: The use of insulin pump therapy in patients with diabetes continues to expand worldwide. Although insulin pumps have been demonstrated to be successful and safe, physicians’ insufficient knowledge may carry a risk to the patients using insulin pumps. This study aimed to assess the attitude and knowledge among physicians in Saudi Arabia regarding insulin pump therapy. Methods: Three hundred and seven physicians, including 82 family physicians, 76 pediatricians, 48 internists, 27 pediatric endocrinologists, 17 adult endocrinologists, and 57 physicians from other specialties, completed a questionnaire that evaluated their knowledge and attitude toward insulin pump therapy. Results: Among the evaluated physicians, 56.7% had poor knowledge level, while 53.4% had positive attitude. Statistical tests revealed that older age, years of practice, consultancy, and endocrinology specialty were the influential factors of knowledge (p < 0.001). Non-endocrinologists demonstrated poor knowledge despite seeing patients with insulin pumps; however, those who had previously cared for such patients scored significantly higher knowledge scores. Conclusions: There was a significant lack of knowledge among physicians regarding insulin pump therapy; however, the perceived attitude of physicians toward this therapy was deemed positive. These findings support the implementation of insulin pump education programs.

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“…Youth should be taught carbohydrate counting to match insulin dose with carbohydrate intake and be reminded to hydrate with water often. If hypoglycemia occurs, the child should break the fast regardless of the time (28). Aside from changes in meal schedules, other changes in the patients' daily routines such as sleep-wake cycles also need to be considered in disease management during Ramadan (29).…”

Section: Fasting During Ramadanmentioning

confidence: 99%

Type 1 diabetes mellitus in children: experience in Indonesia

Pulungan

Fadiana

Annisa

2021

Clin Pediatr Endocrinol

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ISPAD Clinical Practice Consensus Guidelines: Fasting during Ramadan by young people with diabetes

Cited by 28 publications

References 61 publications

Quality of Life and Glycemic Control in Saudi Children with Type 1 Diabetes at Different Developmental Age Groups

Quality of Life and Glycemic Control in Saudi Children with Type 1 Diabetes at Different Developmental Age Groups

Are Physicians in Saudi Arabia Ready for Patients with an Insulin Pump? An Examination of Physician Knowledge and Attitude

Type 1 diabetes mellitus in children: experience in Indonesia

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