Fasting with diabetes: a prospective observational study
| Autor: | Haseeb Ahmad Khawaja, Quratulain Khawaja, Abdul Mannan Khan Minhas, Muhammad Jawad Noon, Umar Rasool Malhi, Asfandyar Khan Niazi, Osama Ishtiaq, Sana Minhas |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
South asia business.industry Health Policy Research Public Health Environmental and Occupational Health Outcome measures Blood sugar 030209 endocrinology & metabolism Negative association Tertiary care hospital medicine.disease 03 medical and health sciences 0302 clinical medicine Relative risk Diabetes mellitus Emergency medicine medicine Observational study 030212 general & internal medicine Medical emergency business |
| Zdroj: | BMJ Global Health |
| ISSN: | 2059-7908 |
| Popis: | Objectives To determine the proportion of diabetic patients who develop adverse glycaemic events when fasting regularly. Design Prospective observational study conducted at a tertiary care hospital in South Asia. Five hundred and twenty-three patients were assessed for eligibility, and 150 were included in the final analysis. Diabetic patients over 18 years of age who were willing to fast regularly and make a chart of their daily blood sugar levels were included in the study. The main outcome measures were hypoglycaemic and hyperglycaemic events. Frequencies and percentages were calculated for quantitative variables, while mean±SD were documented for qualitative variables. Relative risk was calculated as a measure of association. Results Of a total of 150 individuals, 10% experienced hypoglycaemia, while 3.3% reported hyperglycaemic episodes. Only 8.7% of the participants discontinued one or more fasts; however, none of them required hospitalisation. There is a negative association between a visit to a physician by diabetic patients before they begin to fast regularly and the risk of developing hypoglycaemia (relative risk 0.73). Conclusions Many diabetic patients who fast regularly are at high risk of adverse glycaemic events. Most diabetics do not consult their physicians before fasting to adjust medications and lifestyle. Various strategies should be planned and implemented for the awareness and education of such patients to avoid adverse glycaemic events and subsequent complications. |
| Databáze: | OpenAIRE |
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