Ahmedani M Y, Alvi S F D
Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.
Research Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Karachi, Pakistan.
Int J Clin Pract. 2016 Aug;70(8):668-75. doi: 10.1111/ijcp.12820. Epub 2016 Jun 13.
To observe characteristics of fasting patients, trends of Ramadan-specific diabetes education and implementation of diabetes management recommendations in patients with diabetes during Ramadan.
This observational study was conducted in seven countries. Patients were recruited in the study immediately after the end of Ramadan (August 2014) until December 2014. Standardized questionnaire-based, face-to-face interview conducted on one-to-one basis. An identical questionnaire used in each country.
A total of 6610 patients with diabetes participated in the survey. Ramadan-specific diabetes education was received by 3142 (47.5%) patients, drug dosage and timings altered in 4371 (66.1%) patients and dietary advice received by 4636 (70.1%) patients with diabetes before Ramadan. Severe hypoglycaemia observed in 29 (1.0%) patients and severe hyperglycaemia noticed in 44 (1.7%) patients with diabetes during Ramadan. Patients who received Ramadan-specific diabetes education before Ramadan were significantly better (p < 0.0001) in following Ramadan-specific diabetes management recommendations during Ramadan. On further analysis, patients who received Ramadan-specific diabetes education through any mode i.e. one to one session, group session or written education material were found to be significantly better (p < 0.05) in following Ramadan-specific diabetes management recommendations during Ramadan compared with patients who did not receive education.
It was observed that patients who received Ramadan-specific diabetes education followed Ramadan-specific diabetes management recommendations better compared with patients who did not receive education. Ramadan-specific diabetes management recommendations are still not completely implemented.
观察斋月期间糖尿病患者禁食的特点、斋月特定糖尿病教育的趋势以及糖尿病管理建议的实施情况。
这项观察性研究在七个国家进行。患者在斋月结束后（2014年8月）立即被纳入研究，直至2014年12月。采用基于标准化问卷的一对一面对面访谈。每个国家使用相同的问卷。
共有6610名糖尿病患者参与了调查。3142名（47.5%）患者接受了斋月特定糖尿病教育，4371名（66.1%）患者改变了药物剂量和服药时间，4636名（70.1%）糖尿病患者在斋月前接受了饮食建议。斋月期间，29名（1.0%）患者出现严重低血糖，44名（1.7%）患者出现严重高血糖。在斋月前接受过斋月特定糖尿病教育的患者在斋月期间遵循斋月特定糖尿病管理建议的情况明显更好（p < 0.0001）。进一步分析发现，与未接受教育的患者相比，通过任何方式（即一对一授课、小组授课或书面教育材料）接受斋月特定糖尿病教育的患者在斋月期间遵循斋月特定糖尿病管理建议的情况明显更好（p < 0.05）。
观察发现，与未接受教育的患者相比，接受斋月特定糖尿病教育的患者在遵循斋月特定糖尿病管理建议方面表现更好。斋月特定糖尿病管理建议仍未得到完全实施。
