Impact of Ramadan Focused Education Program on medications adjustment for patients with type 2 diabetes in a primary health care institution in Saudi Arabia.

Autor: Tourkmani AM; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: aylatourkmani@gmail.com., Alharbi TJ; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: TJALHARBI@psmmc.med.sa., Bin Rsheed AM; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: AMBINRASHEED@psmmc.med.sa., AlRasheed AN; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: analrasheed@psmmc.med.sa., AlBattal SM; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: salbattal@psmmc.med.sa., Abdelhay O; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: osamaabdelhay@gmail.com., Hassali MA; Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia. Electronic address: azmihassali@gmail.com., Faya SI; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: sfaya@psmmc.med.sa., Assiri ES; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: iassiri@psmmc.med.sa., Al Ghishiayan KI; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: Kghishian@psmmc.med.sa., Alrasheedy AA; Department of Pharmacy Practice, College of Pharmacy, Qassim University, Qassim, Saudi Arabia. Electronic address: alian-a@hotmail.com., Abbas MA; Family and Community Medicine Department, Chronic Diseases Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address: MKOFI@psmmc.med.
Jazyk: angličtina
Zdroj: Diabetes & metabolic syndrome [Diabetes Metab Syndr] 2019 Jan - Feb; Vol. 13 (1), pp. 161-165. Date of Electronic Publication: 2018 Aug 02.
DOI: 10.1016/j.dsx.2018.07.012
Abstrakt: Aims: To examine the impact of Ramadan Focused Education Program (RFEP) on medications adjustment in type 2 diabetes patients in Ramadan.
Methods: This is a controlled, intervention based study. It was run on three phases: before, during, and after Ramadan on 262 type 2 diabetes patients. The intervention group (n = 140) received RFEP on medications doses & timing adjustment before and after Ramadan, while the control group (n = 122) received standard care.
Results: The dose of insulin glargine was reduced from 42.51 ± 22.16 at the baseline to 40.11 ± 18.51-units during Ramadan (p = 0.002) in the intervention group while it remained the same in the control group before Ramadan and during Ramadan (38.51 ± 18.63 and 38.14 ± 18.46, P = 0.428, respectively). The hypoglycemia score was 14.2 ± (8.5) pre-Ramadan in the intervention and reduced to 6.36 ± 6.17 during Ramadan (p < 0.001) while in the control group, no significant changes were noted before and during Ramadan (14.01 ± 5.10 versus 13.46 ± 5.30).
Conclusions: Ramadan Focused Education Program done at a primary healthcare setting had a positive impact on medication adjustment for dose and timing during fasting in Ramadan in diabetic patients, and it can be a useful tool to achieve better outcomes; less hypoglycemia and safe fasting among T2D patients during Ramadan.
(Copyright © 2018 Diabetes India. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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