Highlighted of Ramadan Fasting on Diabetes-Study of Complications, Biochemical Aspects and Anthropometry

Abstract Background and aims: The diabetic exempted from fasting by religion, wishing or not to observe the fast, is exposed like any other during Ramadan to a change in lifestyle. The objective of this study was to highlight the effects of Ramadan fasting on diabetes. Material and methods: Multicentre study on 899 diabetics was carried to collect data on the behaviour of diabetics with regard to the fast of Ramadan, biochemicals and anthropometry parameters. Results. The sample consists of 541 diabetic fasters (DTMF) and 358 no fasters. The causes of interruption of fasting were: hypoglycemia (82.4%), dehydration (44.5%), hyperglycemia (12.6%), high blood pressure (13.7%), loss of consciousness (8.3%). The risk factors related to fasting for DTMF were the type of diabetes and gender. Discussion and modifications about dietary, blood glucose monitoring and nutritional education sessions showed a protective effect against the occurrence of hypo and hyperglycemia and loss of consciousness. Decreasing differences were noted for Hb1Ac, LDL and Total-Cholesterol between before and after Ramadan. The weight of DTMF decreased in post-Ramadan (p=0.0000). Conclusion. There is a need to consider regular preventive measures based on public information on the effects of diabetes related complications and the benefits of a balanced diet combined with regular physical activity in nutrition education sessions.

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The Impact of Fasting in Ramadan on Metabolic and Anthropometric Indices in Trained Type ΙΙ Diabetic Patients: A Prospective Observational Study

10.21203/rs.3.rs-15452/v1 ◽

2020 ◽

Author(s):

Tayebe Yazdanyar ◽

Mehrnoush Sohrab ◽

Atena Ramezani ◽

Zahra Kashi ◽

Parastoo Karimi Ali Abadi ◽

...

Keyword(s):

Blood Glucose ◽

Observational Study ◽

Blood Sugar ◽

Prospective Observational Study ◽

Eating Habits ◽

Glucose Monitoring ◽

Blood Glucose Monitoring ◽

Diabetic Patients ◽

Anthropometric Indices ◽

Ramadan Fasting

Abstract Background: Fasting has certain effects on metabolic and anthropometric parameters in diabetic patients. It is, therefore, necessary for patients to receive proper education related to their physical activities, eating habits, blood glucose monitoring, and medications. The aim of this study was to investigate the effects of Ramadan fasting on metabolic and anthropometric indices in type ΙΙ diabetic patients.Methods: This prospective observational study was performed during Ramadan 2018. The study population consisted of diabetic patients who desired to fast and received information on physical activity, eating habits, blood glucose monitoring, and taking their medications before Ramadan. Fasting blood sugar (FBS), blood sugar 2-hour postprandial (BS2hpp), glycosylated hemoglobin (HbA1C), and the lipids profile were assessed before and after Ramadan month. FBS and BS2hpp were also evaluated on the fifteenth day of Ramadan. The significance level for data analysis was considered p<0.05.Results: Out of 40 diabetic cases who completed the study, 6 (15%) were male and 34 (75%) were female. The mean age of participants was 55.2 ± 9.3 years. The anthropometric variables, including weight, BMI, waist, and blood pressure, decreased significantly after Ramadan fasting (p<0.05). FBS decreased significantly (125.1 ± 27.4 vs 105.2 ± 21.4, p<0.0001) and serum triglyceride increased significantly (127.5 ± 45.5 vs 166.5±53.5 mg/dl, p<0.001) after fasting compared to pre-Ramadan measurement. Other variables remained unchanged.Conclusion: The results of this study indicate that type II diabetic patients who have controlled blood sugar and received information based on clinical guidelines about their lifestyle and medications can fast safely during the holy month of Ramadan.

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Importance of Periodic Reeducation of Hospital-Based Nurses in Capillary Blood Glucose Monitoring and an Evaluation of the Usefulness of Reflectance Meters

The Diabetes Educator ◽

10.1177/014572178901500513 ◽

1989 ◽

Vol 15 (5) ◽

pp. 435-439 ◽

Cited By ~ 8

Author(s):

Johnm. Amatruda ◽

Barbara B. Vallone ◽

Todd Schuster ◽

Roberta. Mooney

Keyword(s):

Blood Glucose ◽

Glucose Monitoring ◽

Capillary Blood ◽

Blood Glucose Monitoring ◽

Practical Significance ◽

Quality Assurance Program ◽

Capillary Blood Glucose ◽

Before And After ◽

Capillary Glucose ◽

Improving Accuracy

Precision and accuracy of capillary blood glucose measure ments performed by general staff nurses were assessed before and after a modest reeducation pro gram both with and without the use of reflectance meters. A total of 380 capillary glucose determinations were performed by nurses and the hospital laboratory on the same samples. Prior to reeducation, nurses using meters were more accurate than those reading visually, but no difference was found in precision. Reeducation improved precision equally in both groups while improving accuracy only in the group using meters. While glucose readings with the use of reflectance meters were statistically more accurate than those read visually, the percentage of readings within 10 % and 20 % of the laboratory readings was the same. Thus, the increased accuracy observed with meters may have little practical significance, suggesting that their use might better be based on other consider ations, such as user confidence, convenience, cost, and quality control. Periodic education is, however, an essential component of any quality assurance program.

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Blood Glucose Monitoring Before and After Type 1 Diabetes Clinic Visits

Journal of Pediatric Psychology ◽

10.1093/jpepsy/jsx151 ◽

2017 ◽

Vol 44 (1) ◽

pp. 32-39 ◽

Cited By ~ 2

Author(s):

Kimberly A Driscoll ◽

Suzanne Bennett Johnson ◽

Yuxia Wang ◽

Nancy Wright ◽

Larry C Deeb

Keyword(s):

Type 1 Diabetes ◽

Blood Glucose ◽

Glucose Monitoring ◽

Blood Glucose Monitoring ◽

Diabetes Clinic ◽

Before And After ◽

Clinic Visits

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The treatments of COVID-19 patient with diabetes mellitus: a case report

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20210606 ◽

2021 ◽

Vol 8 (3) ◽

pp. 450

Author(s):

I. Gede Sadu Pratamawerdi ◽

Jason Raymond Hotama ◽

I. Made Suma Wirawan

Keyword(s):

Diabetes Mellitus ◽

Case Report ◽

Chronic Illness ◽

Blood Sugar ◽

Death Rate ◽

Glucose Monitoring ◽

Blood Glucose Monitoring ◽

Loss Of Consciousness ◽

Patients With Diabetes ◽

Strongly Connected

Diabetes mellitus or uncontrolled blood sugar is one of the factors causing the severity risk of COVID-19 infection. The researchers from China and Italy also find a profound connection of the old age patients who have chronic illness comorbid are tend to have a higher risk of enduring serve COVID-19, and have a higher number of deaths. Until this report is written, there are no medicines nor vaccines to treat COVID-19 completely. This article reports KTK, a 57 years old woman, Balinese, was diagnosed with COVID-19 and was treated because of the loss of consciousness. Patient had already done the op debridement amputation for left foot digit II-V and the wound of the patient got worsen. Patient also had blood sugar variability which complicated the insulin therapy and inhibits the patient’s recovery. On her way, the patient’s respiratory system got worsen. Diabetes is strongly connected with a higher risk of severe COVID-19 and has a higher death rate compared to controlled blood sugar. The purpose of the guidance for COVID-19 patients with Diabetes is to prove that comprehensive glycemic control and blood glucose monitoring have a good result of the treatments for COVID-19 patients with Diabetes, also reduce the complication from the comorbid of chronic illness (diabetes), and avoiding the undesirable possibilities about the treatments.

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Lymph nodes detection and the mesorectal excision quality evaluation

Perspectives in Surgery ◽

10.33699/pis.2019.98.5.200-206 ◽

2019 ◽

Vol 98 (5) ◽

pp. 200-206

Keyword(s):

Lymph Nodes ◽

Neoadjuvant Therapy ◽

Quality Evaluation ◽

Rectal Resection ◽

Age Groups ◽

Cooperative Groups ◽

Mesorectal Excision ◽

Proper Number ◽

Before And After ◽

And Gender

ntroduction: Detection and examination of proper number of lymph nodes in patients after rectal resection is important for next treatment and management of patients with rectal carcinoma. There are no clear guideliness for minimal count of lymph nodes, variant recommendations agree on the number of 12 (10−14) nodes. There are situations, when is not easy to reach this count, mainly in older age groups and in patients after neoadjuvant, especially radiation therapy. As a modality for improvement of lymph nodes harvesting seems to be establishing of defined protocols originally designed for mesorectal excision quality evaluation. Methods: The investigation group was formed by patients examined in 2 three-years intervals before and after implementation of the protocol. Elevation in count of harvested lymph nodes was rated generaly and in relation to age groups and gender. Results: The average count of lymph nodes increased from 10 to 15 nodes, in subset of patients whose received neoadjuvant therapy from 7 to al- most 14 nodes. The recommended number of lymph nodes was obtained in all investigated age groups. By the increased number of lymph nodes, rises also possibility of positive nodes found, that can lead to upstaging of the disease, in subset of patients whose received neoadjuvant therapy it is more than 4%. Conclusion: Our conclusions show, that forming of multidisciplinary cooperative groups (chiefly surgeon-pathologist), implementation of defined protocol of surgery, specimen manipulation and investigation by detached specialists lead to benefit consequences for further management and treatment of the patients with colorectal cancer.

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