A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang

Introduction: A large number of Muslims fast during the holy month of Ramadan worldwide. A specific approach is needed to manage diabetic patients who intend to fast during Ramadan because of potential harm. Thus, the study aimed to describe the sociodemography and the characteristic of fasting diab...

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Main Authors:	Mansor, Nur Diyana Asyiqin, Jaafar, Nur Faqihah, Mohamed Ruslan, Abdullah Ammar, Zakaria, Miza Hiryanti, Shahar, Mohammad Arif
Format:	Article
Language:	English
Published:	2018
Subjects:	R Medicine (General) RC Internal medicine
Online Access:	http://irep.iium.edu.my/68714/ http://irep.iium.edu.my/68714/ http://irep.iium.edu.my/68714/1/Diabetes%20Complications%20in%20Ramadan.pdf

id	iium-68714
recordtype	eprints
spelling	iium-687142018-12-19T06:38:03Z http://irep.iium.edu.my/68714/ A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang Mansor, Nur Diyana Asyiqin Jaafar, Nur Faqihah Mohamed Ruslan, Abdullah Ammar Zakaria, Miza Hiryanti Shahar, Mohammad Arif R Medicine (General) RC Internal medicine Introduction: A large number of Muslims fast during the holy month of Ramadan worldwide. A specific approach is needed to manage diabetic patients who intend to fast during Ramadan because of potential harm. Thus, the study aimed to describe the sociodemography and the characteristic of fasting diabetic patients admitted due to acute diabetic complications during Ramadan. Materials and Methods: A cross-sectional study was conducted among fasting diabetic patients in Hospital Tengku Ampuan Afzan (HTAA) who were admitted due to severe hypoglycemia, diabetic ketoacidosis, hyperglycemic hyperosmolar syndrome and uncontrolled diabetes mellitus during the month of Ramadan 2017/1438H. Subjects were interviewed and blood investigation results were obtained from medical records and recorded in patients' case report. Results: Thirteen patients who were admitted due to acute complications of diabetics during Ramadan were included in this study. Of these, 38.5% had severe hypoglycemia, 23.1% diabetic ketoacidosis, 15.4% hyperglycemia hyperosmolar syndrome and 23.1% uncontrolled diabetes mellitus. All of the patients had a long standing diabetes mellitus (median duration of 10 years). HbA1C was high (11.5%) among hyperglycemic subjects. Types of treatment and previous history of severe hypoglycemia prior to Ramadan were the only independent factors identified to be related with acute complications of diabetes during fasting month (p=0.030 and p=0.032 respectively). Insulin, either alone or in combination with oral hypoglycemic agent, was associated with higher number of hypoglycemic event. Conclusion: The significant risk factors found were consistent with other studies. A thorough, individualized and holistic approach is needed in managing patients with diabetes who intend to fast. 2018-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/68714/1/Diabetes%20Complications%20in%20Ramadan.pdf Mansor, Nur Diyana Asyiqin and Jaafar, Nur Faqihah and Mohamed Ruslan, Abdullah Ammar and Zakaria, Miza Hiryanti and Shahar, Mohammad Arif (2018) A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang. International Medical Journal Malaysia, 17 (Supplementary 1). p. 54. http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-55.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General) RC Internal medicine
spellingShingle	R Medicine (General) RC Internal medicine Mansor, Nur Diyana Asyiqin Jaafar, Nur Faqihah Mohamed Ruslan, Abdullah Ammar Zakaria, Miza Hiryanti Shahar, Mohammad Arif A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang
description	Introduction: A large number of Muslims fast during the holy month of Ramadan worldwide. A specific approach is needed to manage diabetic patients who intend to fast during Ramadan because of potential harm. Thus, the study aimed to describe the sociodemography and the characteristic of fasting diabetic patients admitted due to acute diabetic complications during Ramadan. Materials and Methods: A cross-sectional study was conducted among fasting diabetic patients in Hospital Tengku Ampuan Afzan (HTAA) who were admitted due to severe hypoglycemia, diabetic ketoacidosis, hyperglycemic hyperosmolar syndrome and uncontrolled diabetes mellitus during the month of Ramadan 2017/1438H. Subjects were interviewed and blood investigation results were obtained from medical records and recorded in patients' case report. Results: Thirteen patients who were admitted due to acute complications of diabetics during Ramadan were included in this study. Of these, 38.5% had severe hypoglycemia, 23.1% diabetic ketoacidosis, 15.4% hyperglycemia hyperosmolar syndrome and 23.1% uncontrolled diabetes mellitus. All of the patients had a long standing diabetes mellitus (median duration of 10 years). HbA1C was high (11.5%) among hyperglycemic subjects. Types of treatment and previous history of severe hypoglycemia prior to Ramadan were the only independent factors identified to be related with acute complications of diabetes during fasting month (p=0.030 and p=0.032 respectively). Insulin, either alone or in combination with oral hypoglycemic agent, was associated with higher number of hypoglycemic event. Conclusion: The significant risk factors found were consistent with other studies. A thorough, individualized and holistic approach is needed in managing patients with diabetes who intend to fast.
format	Article
author	Mansor, Nur Diyana Asyiqin Jaafar, Nur Faqihah Mohamed Ruslan, Abdullah Ammar Zakaria, Miza Hiryanti Shahar, Mohammad Arif
author_facet	Mansor, Nur Diyana Asyiqin Jaafar, Nur Faqihah Mohamed Ruslan, Abdullah Ammar Zakaria, Miza Hiryanti Shahar, Mohammad Arif
author_sort	Mansor, Nur Diyana Asyiqin
title	A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang
title_short	A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang
title_full	A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang
title_fullStr	A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang
title_full_unstemmed	A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang
title_sort	study of fasting type 2 diabetes mellitus patients with acute complications during ramadan in hospital tengku ampuan afzan, kuantan, pahang
publishDate	2018
url	http://irep.iium.edu.my/68714/ http://irep.iium.edu.my/68714/ http://irep.iium.edu.my/68714/1/Diabetes%20Complications%20in%20Ramadan.pdf
first_indexed	2023-09-18T21:37:29Z
last_indexed	2023-09-18T21:37:29Z
_version_	1777412917929443328

A study of fasting type 2 diabetes mellitus patients with acute complications during Ramadan in Hospital Tengku Ampuan Afzan, Kuantan, Pahang

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