Abdelaziz Tarig Adil, Abdulraheem Muhammad Abdou, Badi Safaa Abdulraheem, Badawi Muhammed Ibrahim, Saeed Ahmed Omer, Elobied Muhammed Ali, Ahmed Mohamed H
Department of Clinical Pharmacy, Faculty of Pharmacy, Omdurman Islamic University, Khartoum, Sudan.
Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, UK.
Diabetes Metab Syndr. 2019 Jan-Feb;13(1):122-126. doi: 10.1016/j.dsx.2018.07.019. Epub 2018 Aug 1.
Fasting during Ramadan for some individuals with diabetes may lead to complications. Pharmacists may assist in dose adjustment and compliance with medication during Ramadan. Therefore, the aim of this study was to assess the knowledge, attitude and practice of Sudanese community pharmacists in the management of diabetes during Ramadan.
A cross-sectional study from April to June 2017, included 330 pharmacies in Khartoum state. The sampling technique was done by two methods using stratified and systematic methods for seven localities of Khartoum State. The community pharmacists were assessed in their knowledge about Medication regimen adjustment (MRA), diabetes risk stratification and the condition in which the fasting diabetic patient have to stop their fast.
The total response rate was 311(94.2%), and the females were 203(65.3%). Pharmacists mean age was 27.6 (SD = 5.9), ranged between 21-62 years. Importantly, more than 75% of the Pharmacists have sufficient knowledge of both identifying high-risk individuals and whether they need to break their fasting. The practice questions answered correctly by more than 80% of pharmacists in relation to monitor blood glucose level, undergo meal planning to avoid hypoglycemia and dehydration during prolong fasting hours and to undergo meal choices to avoid postprandial hyperglycemia. Importantly, 56.9% community pharmacists advised individuals with diabetes about physical activity. The barriers that hindering the proper counseling was attributed to the Lack of knowledge (71.4%). MRA was reported as highly important by (56.6%) and extremely important by (39.2%). The confidence of knowledge about MRA was reported by 52.1%.
This study showed that pharmacists had sufficient knowledge, positive attitude and good practice about diabetes management during Ramadan.
斋月期间，一些糖尿病患者禁食可能会引发并发症。药剂师可协助进行剂量调整，并确保患者在斋月期间遵医嘱服药。因此，本研究旨在评估苏丹社区药剂师在斋月期间糖尿病管理方面的知识、态度和实践。
2017年4月至6月进行的一项横断面研究，涵盖喀土穆州的330家药店。采用分层和系统抽样方法，对喀土穆州的七个地区进行抽样。评估社区药剂师在药物治疗方案调整（MRA）、糖尿病风险分层以及禁食糖尿病患者必须停止禁食的情况等方面的知识。
总回复率为311（94.2%），女性为203人（65.3%）。药剂师的平均年龄为27.6岁（标准差=5.9），年龄范围在21-62岁之间。重要的是，超过75%的药剂师对识别高危个体以及他们是否需要打破禁食有足够的了解。超过80%的药剂师正确回答了有关监测血糖水平、进行饮食规划以避免长时间禁食期间低血糖和脱水以及选择饮食以避免餐后高血糖的实践问题。重要的是，56.9%的社区药剂师为糖尿病患者提供了有关体育活动的建议。阻碍进行适当咨询的障碍归因于知识缺乏（71.4%）。56.6%的人认为MRA非常重要，39.2%的人认为极其重要。52.1%的人表示对MRA知识有信心。
本研究表明，药剂师在斋月期间糖尿病管理方面有足够的知识、积极的态度和良好的实践。
