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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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| Published in: | Journal of diabetes and metabolic disorders 2020-06, Vol.19 (1), p.179-186 |
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| container_end_page | 186 |
| container_issue | 1 |
| container_start_page | 179 |
| container_title | Journal of diabetes and metabolic disorders |
| container_volume | 19 |
| creator | Shaltout, Inass Zakaria, Abir Abdelwahab, Amr Mahmoud Hamed, AbdelKhalek Elsaid, Nehal Hamdy Attia, Mazen Ahmed |
| description | 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
|
| doi_str_mv | 10.1007/s40200-020-00489-1 |
| format | article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7271306</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A616355210</galeid><sourcerecordid>A616355210</sourcerecordid><originalsourceid>FETCH-LOGICAL-c544t-d0d896cc0842528c11dc91806b4c27f5e2b27d4429ba2241f80cb9f92f5d1cdc3</originalsourceid><addsrcrecordid>eNp9kl1rHCEUhofS0oQ0f6AXRSiU3kyqjs44N4Ww9AsChdJei6PHXcOMbtUpbKH_vU4mCbtQqnAUz_O-4vFU1UuCrwjG3bvEMMW4LqHGmIm-Jk-qc0o5qVsuyNOj_Vl1mdItLqPrhCDt8-qsoZxj0nbn1Z_NPOY5qnE8oEElMGgfof6mJmWUR2BmrbILHjmvI9zlB_BgXU5IeYPiQpTDnfqtokkoWPSgtSpl57fIhojyYQ-IIuPUANlptC-m4HN6UT2zakxweb9eVD8-fvi--VzffP30ZXN9U2vOWK4NNqJvtcaCUU6FJsTongjcDkzTznKgA-0MY7QfFKWMWIH10NueWm6INrq5qN6vvvt5mMDocnd5stxHN6l4kEE5eZrxbie34ZfsaEca3BaDt_cGMfycIWU5uaRhHJWHMCdZLmVd0xDRF_T1im7VCNJ5G4qjXnB53ZK24ZwSXKirf1BlGpicDkuJy_mJ4M2RYAdqzLsUxnn5nXQK0hXUMaQUwT4-k2C5tI5cW0eWIO9aR5IienVcoEfJQ6MUoFmBVFJ-C1Hehjn68mn_s_0LrrbOow</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2414733189</pqid></control><display><type>article</type><title>Culturally based pre-Ramadan education increased benefits and reduced hazards of Ramadan fasting for type 2 diabetic patients</title><source>Open Access: PubMed Central</source><source>Springer Nature</source><creator>Shaltout, Inass ; Zakaria, Abir ; Abdelwahab, Amr Mahmoud ; Hamed, AbdelKhalek ; Elsaid, Nehal Hamdy ; Attia, Mazen Ahmed</creator><creatorcontrib>Shaltout, Inass ; Zakaria, Abir ; Abdelwahab, Amr Mahmoud ; Hamed, AbdelKhalek ; Elsaid, Nehal Hamdy ; Attia, Mazen Ahmed</creatorcontrib><description>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
< 0.001; and − 1.96% ± 5.4 vs. -0.39% ± 2.8; p < 0.001, respectively). More commitment to night prayers in the PREP attendees compared to the Non-PREP group, (85.5% prayed >20 nights vs 28.4%; p < 0.001) with more HbA1c and weight percent reduction in the those who performed the prayers more than 20 nights compared to those who performed no prayers (−11.69% ± 8.8 vs −6.28% ± 6.4, p < 0.001; and − 2.76% ±5.1 vs 1.35% ±1.8, p < 0.001, respectively). More perception of true hypoglycemia was associated with PREP attendance (p0.046), insulin treatment (p0.000), and reduction of antidiabetic medication dosage (p0.004). Repeated lowering of antidiabetic medications doses with sequential downsizing of meals’ portions, and appetite was reported.
Conclusion
Ramadan 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.</description><identifier>ISSN: 2251-6581</identifier><identifier>EISSN: 2251-6581</identifier><identifier>DOI: 10.1007/s40200-020-00489-1</identifier><identifier>PMID: 32550167</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>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</subject><ispartof>Journal of diabetes and metabolic disorders, 2020-06, Vol.19 (1), p.179-186</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Springer Nature Switzerland AG 2020.</rights><rights>COPYRIGHT 2020 BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c544t-d0d896cc0842528c11dc91806b4c27f5e2b27d4429ba2241f80cb9f92f5d1cdc3</citedby><cites>FETCH-LOGICAL-c544t-d0d896cc0842528c11dc91806b4c27f5e2b27d4429ba2241f80cb9f92f5d1cdc3</cites><orcidid>0000-0002-1274-9188</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271306/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271306/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32550167$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shaltout, Inass</creatorcontrib><creatorcontrib>Zakaria, Abir</creatorcontrib><creatorcontrib>Abdelwahab, Amr Mahmoud</creatorcontrib><creatorcontrib>Hamed, AbdelKhalek</creatorcontrib><creatorcontrib>Elsaid, Nehal Hamdy</creatorcontrib><creatorcontrib>Attia, Mazen Ahmed</creatorcontrib><title>Culturally based pre-Ramadan education increased benefits and reduced hazards of Ramadan fasting for type 2 diabetic patients</title><title>Journal of diabetes and metabolic disorders</title><addtitle>J Diabetes Metab Disord</addtitle><addtitle>J Diabetes Metab Disord</addtitle><description>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
< 0.001; and − 1.96% ± 5.4 vs. -0.39% ± 2.8; p < 0.001, respectively). More commitment to night prayers in the PREP attendees compared to the Non-PREP group, (85.5% prayed >20 nights vs 28.4%; p < 0.001) with more HbA1c and weight percent reduction in the those who performed the prayers more than 20 nights compared to those who performed no prayers (−11.69% ± 8.8 vs −6.28% ± 6.4, p < 0.001; and − 2.76% ±5.1 vs 1.35% ±1.8, p < 0.001, respectively). More perception of true hypoglycemia was associated with PREP attendance (p0.046), insulin treatment (p0.000), and reduction of antidiabetic medication dosage (p0.004). Repeated lowering of antidiabetic medications doses with sequential downsizing of meals’ portions, and appetite was reported.
Conclusion
Ramadan 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.</description><subject>Care and treatment</subject><subject>Comparative analysis</subject><subject>Diabetes</subject><subject>Diabetes therapy</subject><subject>Diabetics</subject><subject>Endocrinology</subject><subject>Exercise</subject><subject>Fasting</subject><subject>Glycosylated hemoglobin</subject><subject>Hypoglycemic agents</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Research Article</subject><subject>Type 2 diabetes</subject><issn>2251-6581</issn><issn>2251-6581</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kl1rHCEUhofS0oQ0f6AXRSiU3kyqjs44N4Ww9AsChdJei6PHXcOMbtUpbKH_vU4mCbtQqnAUz_O-4vFU1UuCrwjG3bvEMMW4LqHGmIm-Jk-qc0o5qVsuyNOj_Vl1mdItLqPrhCDt8-qsoZxj0nbn1Z_NPOY5qnE8oEElMGgfof6mJmWUR2BmrbILHjmvI9zlB_BgXU5IeYPiQpTDnfqtokkoWPSgtSpl57fIhojyYQ-IIuPUANlptC-m4HN6UT2zakxweb9eVD8-fvi--VzffP30ZXN9U2vOWK4NNqJvtcaCUU6FJsTongjcDkzTznKgA-0MY7QfFKWMWIH10NueWm6INrq5qN6vvvt5mMDocnd5stxHN6l4kEE5eZrxbie34ZfsaEca3BaDt_cGMfycIWU5uaRhHJWHMCdZLmVd0xDRF_T1im7VCNJ5G4qjXnB53ZK24ZwSXKirf1BlGpicDkuJy_mJ4M2RYAdqzLsUxnn5nXQK0hXUMaQUwT4-k2C5tI5cW0eWIO9aR5IienVcoEfJQ6MUoFmBVFJ-C1Hehjn68mn_s_0LrrbOow</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Shaltout, Inass</creator><creator>Zakaria, Abir</creator><creator>Abdelwahab, Amr Mahmoud</creator><creator>Hamed, AbdelKhalek</creator><creator>Elsaid, Nehal Hamdy</creator><creator>Attia, Mazen Ahmed</creator><general>Springer International Publishing</general><general>BioMed Central Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1274-9188</orcidid></search><sort><creationdate>20200601</creationdate><title>Culturally based pre-Ramadan education increased benefits and reduced hazards of Ramadan fasting for type 2 diabetic patients</title><author>Shaltout, Inass ; Zakaria, Abir ; Abdelwahab, Amr Mahmoud ; Hamed, AbdelKhalek ; Elsaid, Nehal Hamdy ; Attia, Mazen Ahmed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c544t-d0d896cc0842528c11dc91806b4c27f5e2b27d4429ba2241f80cb9f92f5d1cdc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Care and treatment</topic><topic>Comparative analysis</topic><topic>Diabetes</topic><topic>Diabetes therapy</topic><topic>Diabetics</topic><topic>Endocrinology</topic><topic>Exercise</topic><topic>Fasting</topic><topic>Glycosylated hemoglobin</topic><topic>Hypoglycemic agents</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Research Article</topic><topic>Type 2 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shaltout, Inass</creatorcontrib><creatorcontrib>Zakaria, Abir</creatorcontrib><creatorcontrib>Abdelwahab, Amr Mahmoud</creatorcontrib><creatorcontrib>Hamed, AbdelKhalek</creatorcontrib><creatorcontrib>Elsaid, Nehal Hamdy</creatorcontrib><creatorcontrib>Attia, Mazen Ahmed</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of diabetes and metabolic disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shaltout, Inass</au><au>Zakaria, Abir</au><au>Abdelwahab, Amr Mahmoud</au><au>Hamed, AbdelKhalek</au><au>Elsaid, Nehal Hamdy</au><au>Attia, Mazen Ahmed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Culturally based pre-Ramadan education increased benefits and reduced hazards of Ramadan fasting for type 2 diabetic patients</atitle><jtitle>Journal of diabetes and metabolic disorders</jtitle><stitle>J Diabetes Metab Disord</stitle><addtitle>J Diabetes Metab Disord</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>19</volume><issue>1</issue><spage>179</spage><epage>186</epage><pages>179-186</pages><issn>2251-6581</issn><eissn>2251-6581</eissn><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
< 0.001; and − 1.96% ± 5.4 vs. -0.39% ± 2.8; p < 0.001, respectively). More commitment to night prayers in the PREP attendees compared to the Non-PREP group, (85.5% prayed >20 nights vs 28.4%; p < 0.001) with more HbA1c and weight percent reduction in the those who performed the prayers more than 20 nights compared to those who performed no prayers (−11.69% ± 8.8 vs −6.28% ± 6.4, p < 0.001; and − 2.76% ±5.1 vs 1.35% ±1.8, p < 0.001, respectively). More perception of true hypoglycemia was associated with PREP attendance (p0.046), insulin treatment (p0.000), and reduction of antidiabetic medication dosage (p0.004). Repeated lowering of antidiabetic medications doses with sequential downsizing of meals’ portions, and appetite was reported.
Conclusion
Ramadan 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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32550167</pmid><doi>10.1007/s40200-020-00489-1</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1274-9188</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Open Access: PubMed Central; Springer Nature |
| 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 |
| title | Culturally based pre-Ramadan education increased benefits and reduced hazards of Ramadan fasting for type 2 diabetic patients |
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