Role of Ramadan specific diabetes education (RSDE); A prospective study

Abstract

Objective:To observe the role of Ramadan Specific Diabetes Education (RSDE) in the management of fasting patients with diabetes.Methods:This prospective study was carried out at out-patients department (OPD) of Baqai Institute of Diabetology & Endocrinology (BIDE), in 2012. Recruitment of patients started a month prior to Ramadan. Muslim patients with diabetes whether had their first or on follow up visit to the OPD and showed intention to hold fast in the month of Ramadan, were included. A printed broacher focused on six cardinal areas of fasting and diabetes identified in Ramadan specific guidelines was given to all participants. All patients had their first visit to the OPD (n=32) were also given RSDE on one-to-one basis (Group A). Whereas patients had follow up visit were advised to attend a group session on RSDE. Those attended (n= 25) and those did not opt (n=45) the group session were included in Group B and Group C respectively. All participants were instructed to visit the OPD after Ramadan. Group D was constituted after Ramadan. It included patients who had not visited the OPD during induction period thus did not receive RSDE (n=76) they however hold fast in the month of Ramadan. Data regarding compliance to structured education through different modes was collected during post Ramadan visit.Results:Comparisons among groups who received education(A with B with C) revealed non-significant difference in self-monitoring of blood glucose, alteration of drug dosage and timing, appreciation of hypoglycemia and action taken on development of hypoglycemic symptoms. However, significant differences were noted when group who received education was compared individually with group who did not receive education.Conclusion:Patients who receive Pre-Ramadan diabetes education were found to be significantly better in following Ramadan specific diabetes management recommendations compared to patients who did not receive education. Further large scale studies are needed to validate our findings.

Role of 24-hour Helpline Service in the Management of Diabetes During the Holy Month of Ramadan

“…It shows that the impact of the 24-hours helpline service and pre-Ramadan education was similar to a previous study for people with diabetes [9]. In Ahmedani MY et al's study, patients with pre-Ramadan diabetes education also showed significantly better results for Ramadan-specific diabetes management recommendations as compared to patients without diabetes education [15].…”

Initial increase in glucose variability during Ramadan fasting in non-insulin-treated patients with diabetes type 2 using continuous glucose monitoring

“…However, recent studies have shown that the newer anti-diabetic medications – DPP-4 inhibitors, GLP-1 agonists, and SGLT2 inhibitors – are safe during Ramadan fasting and have lower risk for hypoglycaemia compared to SU [12,14,18,19]. Pre-Ramadan individualized advice and education provided at our centre may have played a role in preventing significant increase in the rate of hypoglycaemia [20,21]. …”

Assessment of Ramadan Education and Knowledge Among Diabetic Patients

“…11 Furthermore, the Ramadan Specific Diabetes Education (RSDE) study found that patients who received this type of education tended to engage in safer fasting practices when compared to those who did not receive this type of education. 22 These programs were also able to reduce the development of diabetes-related complications that was observed while patients fasted during the EPIDIAR study [7]. Also evident was the fact that structured educational and interventional programs are important for diabetic patients.…”

“…Furthermore, the Ramadan Specific Diabetes Education (RSDE) study found that patients who received this type of education tended to engage in safer fasting practices when compared to those who did not receive this type of education. 22…”