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Culturally based pre-Ramadan education increased benefits and reduced hazards of Ramadan fasting for type 2 diabetic patients.


ABSTRACT:

Objectives

In the current study, we aimed at evaluating the effect of a culturally-based pre-Ramadan education program (PREP) on glycemic control, weight, adherence to post-sunset physical activity, perception of hypoglycemia, and anti-diabetic medication dose adjustment during Ramadan fasting in type 2 diabetics.

Study design

A total of 1008 type 2 Diabetes patients were offered a culturally-based PREP in addition to the standard of care, two months before Ramadan. A retrospective interview one month after Ramadan compared the fasting experience of PREP attendees (470 patients) with those who merely received standard of care (538 patients) (Non-PREP).

Results

Ramadan fasting improved glycemic control with a correlation between HbA1c percent reduction and the number of fasting days (r?=?-0.290, p?=?0.007). More HbA1c and weight percent reduction were observed in PREP attendees compared to the Non-PREP group (-14.8%?±?9.3 vs. -5.4%?±?5.4; p?20 nights vs 28.4%; p?ConclusionRamadan fasting was beneficial for people with type 2 diabetes with reduction of HbA1c in correlation with the number of fasting days. Contrasting PREP with Non-PREP participants discovered better HbA1c and weight reduction in the former group even with equal number of fasting days. PREP participants performed more Taraweeh night prayers. The more the prayer nights the more decline of HbA1c and weight was observed. PREP improved perception and response to hypoglycemia with low-dosing of antidiabetic medications, especially insulin.

SUBMITTER: Shaltout I 

PROVIDER: S-EPMC7271306 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Culturally based pre-Ramadan education increased benefits and reduced hazards of Ramadan fasting for type 2 diabetic patients.

Shaltout Inass I   Zakaria Abir A   Abdelwahab Amr Mahmoud AM   Hamed AbdelKhalek A   Elsaid Nehal Hamdy NH   Attia Mazen Ahmed MA  

Journal of diabetes and metabolic disorders 20200130 1


<h4>Objectives</h4>In the current study, we aimed at evaluating the effect of a culturally-based pre-Ramadan education program (PREP) on glycemic control, weight, adherence to post-sunset physical activity, perception of hypoglycemia, and anti-diabetic medication dose adjustment during Ramadan fasting in type 2 diabetics.<h4>Study design</h4>A total of 1008 type 2 Diabetes patients were offered a culturally-based PREP in addition to the standard of care, two months before Ramadan. A retrospectiv  ...[more]

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