Catic Tarik, Jusufovic Rasim
University Sarajevo School of Science and Technology - Medical School, Sarajevo, Bosnia and Herzegovina.
Mater Sociomed. 2020 Mar;32(1):57-61. doi: 10.5455/msm.2020.32.57-61.
Ramadan is the holy month of Muslims including fasting sometimes more than 20 hours. Even diabetes patients can be exempted from fasting it has been shown that almost 80% of diabetes type 2 patients intend and do fasting. To avoid acute complications during fasting, different recommendations on diabetes management are available. Considering the fact that there are more than 226 thousand diabetics in Bosnia and Herzegovina, it is important to provide structured support and healthcare service to those who are practicing fast during Ramadan.
To evaluate knowledge, practice and attitudes of physicians treating diabetes (diabetologists and endocrinologists) in Bosnia and Herzegovina regarding management of diabetes in fasting patients during Ramadan.
A 32 questions survey has been developed, validated and disseminated to the 27 specialists treating diabetes in Bosnia and Herzegovina through online form examining demographic characteristics, current practices and attitudes and knowledge on diabetes management during Ramadan.
All surveyed physicians deal with patients who are fasting during Ramadan. The majority of surveyed physicians 23 (85,2%) proactively initiate a discussion about planned fasting. More than 63,0% are following their experience and only 18,5% ADA/EASD guidelines on diabetes management during Ramadan. There are no significant differences between gender of the physicians, place of work and specialization when it comes to specific knowledge related to treatment guidelines, but some differences are observed.
Although overall physicians` knowledge of diabetes management during Ramadan is satisfying there is opportunity in additional specialized education and measures introduction into the practice in order to improve treatment outcomes and standards of care.
斋月是穆斯林的神圣月份，期间有时禁食超过20小时。即使糖尿病患者可免予禁食，但仍有近80%的2型糖尿病患者有意并实际进行禁食。为避免禁食期间出现急性并发症，有关于糖尿病管理的不同建议。鉴于波斯尼亚和黑塞哥维那有超过22.6万糖尿病患者，为斋月期间禁食的患者提供结构化支持和医疗服务很重要。
评估波斯尼亚和黑塞哥维那治疗糖尿病的医生（糖尿病专家和内分泌专家）在斋月期间对糖尿病禁食患者管理的知识、实践和态度。
设计了一份包含32个问题的调查问卷，经过验证后通过在线表格分发给波斯尼亚和黑塞哥维那27位治疗糖尿病的专家，调查人口统计学特征、当前实践以及对斋月期间糖尿病管理的态度和知识。
所有接受调查的医生都诊治斋月期间禁食的患者。大多数接受调查的医生23人（85.2%）主动发起关于计划禁食的讨论。超过63.0%的医生遵循自身经验，只有18.5%的医生遵循美国糖尿病协会/欧洲糖尿病研究协会关于斋月期间糖尿病管理的指南。在与治疗指南相关的具体知识方面，医生的性别、工作地点和专业之间没有显著差异，但存在一些差异。
尽管总体而言医生对斋月期间糖尿病管理的知识令人满意，但仍有机会进行额外的专业教育并在实践中引入相关措施，以改善治疗效果和护理标准。
