Diabetes department Mustapha Hospital, Algiers, Algeria.
Diabetes department Mustapha Hospital, Algiers, Algeria.
Diabetes Res Clin Pract. 2022 Jun;188:109901. doi: 10.1016/j.diabres.2022.109901. Epub 2022 May 2.
A considerable proportion of Muslims around the world are affected by diabetes. Ramadan fasting, a religious obligation for adult Muslims, is associated with increased risks of acute complications in patients with diabetes. In spite of these complications and an exemption provided by the Quran, many Muslims with diabetes, including a considerable number of Algerians, insist to fast. There is a scarcity of studies examining fasting patterns in Algerian people with diabetes.
To compare between fasting (≥1day) and non-fasting people with diabetes in terms of general characteristics and the frequency of acute complications during Ramadan in a sample Algerian population.
This cross-sectional study was undertaken in 2021 and included outpatients with T1DM or T2DM followed by Mustapha Bacha's university-hospital's diabetology's department, Algiers, Algeria. Data were collected using a purposely designed questionnaire and were analysed using SPSS ver.27.
458 participants were included, 53.1% female, 88.2% with T2DM, with a mean age of 59.8 (±13.55) years and a mean diabetes duration of 12.8 (±9.36) years. Participants fasted a mean 20.5 ± 13.53 days (T1DM: 6.3 ± 11.00; T2DM: 22.3 ± 12.72). A feeling of well-being and religious convictions were the dominant fasting decision-making factors in people with a high risk score. There was an increase in dietary and sugar intakes in 21.6% and 42.3% of the population respectively, a reduction in sleep duration in 34.5% and a lack of medical adjustment in the majority of participants. The risk score (IDF-DAR 2021) was significantly lower in the non-fasting group compared with the fasting group both in the general population and within the high risk category. No difference in the frequency of acute diabetes-related complications was found.
People with diabetes who fast during Ramadan tend to be younger, predominantly males and with a shorter diabetes duration compared with non-fasting people. The risk score (IDF&DAR 2021) remained significantly higher in non-fasting participants even when compared with fasting participants within the same high risk category. Acute diabetes-related complications do not appear to be more frequent in the fasting population. Access and adherence to pre-Ramadan diabetes self-management educations should be improved.
在世界各地，相当一部分穆斯林受到糖尿病的影响。斋月禁食是成年穆斯林的宗教义务，与糖尿病患者急性并发症的风险增加有关。尽管存在这些并发症以及《古兰经》提供的豁免，但许多患有糖尿病的穆斯林，包括相当数量的阿尔及利亚人，仍坚持禁食。关于阿尔及利亚糖尿病患者的禁食模式，研究相对较少。
在阿尔及利亚人群中，比较糖尿病患者在斋月期间禁食（≥1 天）和不禁食人群的一般特征和急性并发症的发生频率。
这是一项 2021 年进行的横断面研究，纳入了阿尔及尔 Mustapha Bacha 大学医院糖尿病科的 1 型糖尿病或 2 型糖尿病门诊患者。使用专门设计的问卷收集数据，并使用 SPSS 版本 27 进行分析。
共纳入 458 名参与者，其中 53.1%为女性，88.2%为 2 型糖尿病患者，平均年龄为 59.8（±13.55）岁，平均糖尿病病程为 12.8（±9.36）年。参与者平均禁食 20.5±13.53 天（1 型糖尿病：6.3±11.00；2 型糖尿病：22.3±12.72）。在高风险评分人群中，感觉良好和宗教信仰是决定禁食的主要因素。分别有 21.6%和 42.3%的人群增加了饮食和糖的摄入，34.5%的人群减少了睡眠时间，大多数参与者没有进行医疗调整。与禁食组相比，非禁食组的风险评分（IDF-DAR 2021）在总体人群和高风险类别中均显著降低。未发现急性糖尿病相关并发症的发生频率存在差异。
在斋月期间禁食的糖尿病患者与不禁食的患者相比，往往更年轻、主要为男性，且糖尿病病程较短。即使与同一高风险类别中的禁食参与者相比，非禁食参与者的风险评分（IDF&DAR 2021）仍显著较高。在禁食人群中，急性糖尿病相关并发症似乎并不更频繁。应改善斋月前糖尿病自我管理教育的可及性和依从性。
