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Article: Ramadan Education and Awareness in Diabetes (READ) programme for Muslims with type 2 diabetes who fast during Ramadan

TitleRamadan Education and Awareness in Diabetes (READ) programme for Muslims with type 2 diabetes who fast during Ramadan
Authors
Issue Date2010
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/DME
Citation
Diabetic Medicine, 2010, v. 27 n. 3, p. 327-331 How to Cite?
AbstractBackground and Aims: During Ramadan, Muslims fast from dawn to dusk for one lunar month. The majority of Muslim diabetic patients are unaware of complications such as hypoglycaemia during fasting. The safety of fasting has not been assessed in the UK Muslim population with diabetes. The aim of this study was to determine the impact of Ramadan-focused education on weight and hypoglycaemic episodes during Ramadan in a Type 2 diabetic Muslim population taking oral glucose-lowering agents. Methods: We retrospectively analysed two groups. Group A attended a structured education programme about physical activity, meal planning, glucose monitoring, hypoglycaemia, dosage and timing of medications. Group B did not. Hypoglycaemia was defined as home blood glucose < 3.5 mmol/l. Results: There was a mean weight loss of 0.7 kg after Ramadan in group A, compared with a 0.6-kg mean weight gain in group B (P < 0.001). The weight changes observed were independent of the class of glucose-lowering agents used. There was a significant decrease in the total number of hypoglycaemic events in group A, from nine to five, compared with an increase in group B from nine to 36 (P < 0.001). The majority were in patients treated with short-acting sulphonylureas (group A - 100%, group B - 94%). At 12 months after attending the programme, glycated haemoglobin (HbA1c) reduction were sustained in group A. Conclusions: Ramadan-focused education in diabetes can empower patients to change their lifestyle during Ramadan. It minimizes the risk of hypoglycaemic events and prevents weight gain during this festive period for Muslims, which potentially benefits metabolic control. © 2010 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/167067
ISSN
2015 Impact Factor: 3.152
2015 SCImago Journal Rankings: 1.654
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorBravis, Ven_US
dc.contributor.authorHui, Een_US
dc.contributor.authorSalih, Sen_US
dc.contributor.authorMehar, Sen_US
dc.contributor.authorHassanein, Men_US
dc.contributor.authorDevendra, Den_US
dc.date.accessioned2012-09-28T04:02:41Z-
dc.date.available2012-09-28T04:02:41Z-
dc.date.issued2010en_US
dc.identifier.citationDiabetic Medicine, 2010, v. 27 n. 3, p. 327-331en_US
dc.identifier.issn0742-3071en_US
dc.identifier.urihttp://hdl.handle.net/10722/167067-
dc.description.abstractBackground and Aims: During Ramadan, Muslims fast from dawn to dusk for one lunar month. The majority of Muslim diabetic patients are unaware of complications such as hypoglycaemia during fasting. The safety of fasting has not been assessed in the UK Muslim population with diabetes. The aim of this study was to determine the impact of Ramadan-focused education on weight and hypoglycaemic episodes during Ramadan in a Type 2 diabetic Muslim population taking oral glucose-lowering agents. Methods: We retrospectively analysed two groups. Group A attended a structured education programme about physical activity, meal planning, glucose monitoring, hypoglycaemia, dosage and timing of medications. Group B did not. Hypoglycaemia was defined as home blood glucose < 3.5 mmol/l. Results: There was a mean weight loss of 0.7 kg after Ramadan in group A, compared with a 0.6-kg mean weight gain in group B (P < 0.001). The weight changes observed were independent of the class of glucose-lowering agents used. There was a significant decrease in the total number of hypoglycaemic events in group A, from nine to five, compared with an increase in group B from nine to 36 (P < 0.001). The majority were in patients treated with short-acting sulphonylureas (group A - 100%, group B - 94%). At 12 months after attending the programme, glycated haemoglobin (HbA1c) reduction were sustained in group A. Conclusions: Ramadan-focused education in diabetes can empower patients to change their lifestyle during Ramadan. It minimizes the risk of hypoglycaemic events and prevents weight gain during this festive period for Muslims, which potentially benefits metabolic control. © 2010 The Authors.en_US
dc.languageengen_US
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/DMEen_US
dc.relation.ispartofDiabetic Medicineen_US
dc.subject.meshAgeden_US
dc.subject.meshAwarenessen_US
dc.subject.meshBody Weighten_US
dc.subject.meshDiabetes Mellitus, Type 2 - Drug Therapy - Physiopathologyen_US
dc.subject.meshDieten_US
dc.subject.meshFastingen_US
dc.subject.meshFemaleen_US
dc.subject.meshGreat Britainen_US
dc.subject.meshHealth Education - Methodsen_US
dc.subject.meshHumansen_US
dc.subject.meshHypoglycemia - Epidemiologyen_US
dc.subject.meshHypoglycemic Agents - Therapeutic Useen_US
dc.subject.meshIslamen_US
dc.subject.meshLife Styleen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPatient Education As Topicen_US
dc.subject.meshReligionen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshWeight Gainen_US
dc.subject.meshWeight Lossen_US
dc.titleRamadan Education and Awareness in Diabetes (READ) programme for Muslims with type 2 diabetes who fast during Ramadanen_US
dc.typeArticleen_US
dc.identifier.emailHui, E: eylhui@hku.hken_US
dc.identifier.authorityHui, E=rp01660en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1464-5491.2010.02948.xen_US
dc.identifier.pmid20536496-
dc.identifier.scopuseid_2-s2.0-77949350521en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77949350521&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume27en_US
dc.identifier.issue3en_US
dc.identifier.spage327en_US
dc.identifier.epage331en_US
dc.identifier.isiWOS:000275095600011-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridBravis, V=25651274000en_US
dc.identifier.scopusauthoridHui, E=25651582800en_US
dc.identifier.scopusauthoridSalih, S=35263298800en_US
dc.identifier.scopusauthoridMehar, S=35262530100en_US
dc.identifier.scopusauthoridHassanein, M=7004441683en_US
dc.identifier.scopusauthoridDevendra, D=6701796681en_US
dc.identifier.citeulike6798580-

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