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

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 ty...

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Bibliographic Details
Published in:Journal of diabetes and metabolic disorders 2020-06, Vol.19 (1), p.179-186
Main Authors: Shaltout, Inass, Zakaria, Abir, Abdelwahab, Amr Mahmoud, Hamed, AbdelKhalek, Elsaid, Nehal Hamdy, Attia, Mazen Ahmed
Format: Article
Language:English
Subjects:
Care and treatment
Comparative analysis
Diabetes
Diabetes therapy
Diabetics
Endocrinology
Exercise
Fasting
Glycosylated hemoglobin
Hypoglycemic agents
Medicine
Medicine & Public Health
Metabolic Diseases
Research Article
Type 2 diabetes
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Summary: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  
ISSN:2251-6581
2251-6581
DOI:10.1007/s40200-020-00489-1