The effect of Ramadan fasting on well-being and attitudes toward diabetes in patients with diabetes
DOI:
https://doi.org/10.1002/edn.48Keywords:
Diabetes mellitus, Ramadan, fasting, metabolic control, well-being, attitude toward diabetesAbstract
AbstractBackground: Most Muslim patients with diabetes would like to fast, even though they are exempt from fasting due to their health condition.
Aims: This study was planned to assess the fasting condition of patients with diabetes and the effects of fasting on metabolic control, attitudes of the patients towards the disease, and their state of well-being.
Methods: 200 patients with type 2 diabetes who attended the diabetes clinic in the first week of Ramadan month were included in the study. The data was collected via a questionnaire form that contained sociodemographic characteristics, ‘diabetes attitude measures’ and ‘WHO Measurement of Well-being’ (22 questions). Three months after the first assessment, all participants were invited to attend for assessment of metabolic variables and were asked about their fasting situation.
Results: The percentage of patients with type 2 diabetes participating in the study was 40%. There was no significant difference in HbA1c values of non-fasting patients with type 2 diabetes after three months (t=1.16; p>0.05). A statistically significant relationship was observed in HbA1c values of fasting patients with diabetes (using insulin and fasting t=2.77; p=0.006, using oral antidiabetic drugs (OAD) and fasting t=6.55; p=0.000). The attitude scores of all patients with diabetes towards diabetes were identified to be negative (2.05+0.30) and state of well-being in the middle level (59.66+14.10).
Conclusions: The difference between fasting and non-fasting patients with diabetes groups in terms of attitude scores towards diabetes and state of well-being was not statistically significant (p> 0.05).
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References
King H, Aubert RE, Herman WH. Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care 1998; 9: 1414–1431.
The Canadian Society of Muslims: Muslim population statistics [arti-cle online], 2000. Available from http://muslim-canada.org/muslimstats.html [Accessed 1 December 2005].
An Analysis of the World Muslim Population by Country /Region [article online]. Available at http://www.factbook.net/muslim_pop.php [Accessed 1 December 2005].
Wild S, Roglic G, Green A, et al. Global prevalence of diabetes, esti-mates for the year 2000 and projec-tions for 2030. Diabetes Care 2004; 27: 1047–1053.
Salti I, Benard E, Detournay B, et al, the EPIDIAR Study Group. A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: results of the Epidemiology of Diabetes and Ramadan 1422/2001 (EPIDIAR) study. Diabetes Care 2004; 27: 2306–2311.
Arouj MA, Bouguerra R, Buse J, et al. Recommendations for management of diabetes during Ramadan. Diabetes Care 2005; 28: 2305–2311.
Haouri M, Haourai-Oukerro F, Mebazaa A, et al. Circadian Evolution of Serum Level of Glucose, Insulin, Cortisol and Total Proteins in Healthy, Fasting Volunteers. Istanbul, Turkey: Second International Congress on Health and Ramadan, 1997: 31.
Hakkou F, Tazi A, Iraqui L, et al. The observance of Ramadan and its repercussions on gastric secretion. Gastroenterol Clin Biol 1994; 3: 190–194.
Hojlund K, Wildner-Christensen M, Eshoj O, et al. Reference intervals for glucose, –-cell polypeptides, and counterregulatory factors during prolonged fasting. Am J Physiol Endocrinol Metab 2001; 1: 50–58.
Bouguerra R, Ben Slama C, Belkadhi A, et al. Metabolic Control and Plasma Lipoprotein During Ramadan Fasting in Non-insulin Dependent Diabetes. Istanbul, Turkey: Second International Congress on Health and Ramadan, 1997: 33.
Niazi G, Al Nasir F. The Effect of Ramadan Fasting on Bahraini Patients with Chronic Disorders. Istanbul, Turkey: Second International Congress on Health and Ramadan, 1997: 24.
Bagraicik N, Yumuk V, Damei T, et al. The Effect of Fasting on Blood Glucose, Fructosamine, Insulin, and C-Peptide Levels in Ramadan. Casablanca, Morocco: First International Congress on Health and Ramadan, 1994: 32.
Akanji AO, Mojiminiyi OA, Abdella N. Beneficial changes in serum Apo A-1 and its ratio to apoB and HDL in stable hyperlipidaemic sub-jects after Ramadan fasting in Kuwait. Eur J Clin Nutr 2000; 54: 508–513.
Azizi F, Siahkolah B. Ramadan fast-ing and diabetes mellitus. Int J Ramadan Fasting Research 1998; 2: 8–17.
Katibi IA, Akande AA, Bojuwoye BJ, et aL. Blood sugar control among fasting Muslims with type 2 diabetes in Ilorin. Niger J Med 2001; 10: 132–134.
Mafauzy M, Wan Mohamad WB, Zulkifli A, et al. Ruhani AH: a study of fasting diabetic patients during the month of Ramadan. Med J Malaysia 1990; 45: 14–17.
Uysal AR, Erdogan MF, Sahin G, et aL. Clinical and metabolic effects of fasting in 41 type 2 diabetic patients during Ramadan (Letter). Diabetes Care 1998; 21: 2033–2034.
Yarahmadi SH, Larijani B, Bastan-hagh MH, et al. Metabolic and clinical effects of Ramadan fasting in patients with type II diabetes. J Coll Physicians Surg Pak 2003; 13: 329–332.
Ramadan J, Telahoun G, Al-Zaid NS, et al. Responses to exercise, fluid, and energy balances during Ramadan in sedentary and active males. Nutrition 1999; 15: 735–739.
Belkhadir J, et al Ghomari H, Mocker N, et al. Muslims with non-insulin dependent diabetes fasting during Ramadan: treatment with gliben-clamide. BMJ 1993; 307: 292–295.
Kadiri A, Al-Nakhi A, El-Ghazali S, et al. Treatment of type 1 diabetes with insulin lispro during Ramadan. Diabetes Metab 2001; 27: 482–486.
Ozcan Hfi . The Evaluation of Factors that Influence the Concordance for the Disease in Diabetic Patients. Istanbul University, Institute of Health Sciences, PhD dissertation, Istanbul, 1999.
Bradley C, Gamsu DS. Guidelines for encouraging psychological well-being: report of working group of the World Health Organisation Regional Office for Europe and International Diabetes Federation European Region St. Vincent Decleration Action Programme for Diabetes. Diabetes Med 1994; 11: 510–518.
Sengul AM, Sargin M, Salman F, et al. Reliability and validity of Turkish version of quality of life, well-being and treatment satisfac-tion questionnaire. Diabetes Res Clin Pract 2000; 50 (Suppl 1): P971, S230.
Laajam MA. Ramadan and non-insulin-dependent diabetes: effect on metabolic control. East Aft Med J1990; 67: 732–736.
Ewis A, Afifi NM. Ramadan Fasting and Non-insulin-dependent Dia-betes Mellitus: Effect of Regular Exercise. Istanbul, Turkey: Second International Congress on Health and Ramadan, 1997: 76.
Sulimani RA, Laajam M, Al-Attas O, et al. The effect of Ramadan fasting on diabetes control type II diabetic patients. Nutrition Research 1991; 11: 261–264.
Al Nakhi A, Al Arouj M, Kandari A, et al. Multiple Insulin Injection During Fasting Ramadan in IDDM Patients. Istanbul, Turkey: Second International Congress on Health and Ramadan, 1997: 77.
Klocker N, Belkhadir J, El Ghomari H, et al. Effects of Extreme Chrono-biological Diet Alternations During Ramadan on Metabolism in NIDDM Diabetes with Oral Treatment. Istanbul, Turkey: Sec-ond International Congress on Health and Ramadan, 1997: 78–79.
Salman H, Abdallah MA, Al Howasi M. Ramadan fasting in diabetic children in Riyadh. Diabet Med 1992; 9: 583–584.
Khatib F. Effect of fasting in Ramadan on blood glucose and plasma lipids in diabetics with NIDDM. Istanbul, Turkey: Second Intern-ational Congress on Health and Ramadan, 1997: 42.
Omar M, Motala A. Fasting in Ram-adan and the diabetic patient. Diabetes Care 1997; 20: 1925–1926.
Roky R, Kotbi S, Taoudi Bencherkroun M, et al. Bibliographic Study on Ramadan Effect on Physiology, Pathology and Therapeutic. Istanbul, Turkey: Second International Congress on Health and Ramadan, 1997: 82–83.
Akbani MF, Saleem M, Gadit WU, et aL Fasting and feasting safely during Ramadan in the patient with Diabetes. Practical Diabetes International 2005; 22: 100–104.
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