Diabetes emergencies around Ramadan study (DEARS) - A multi-center study of diabetes emergencies admitted before, during and after Ramadan in Malaysia.

Diabetes Research and Clinical Practice
Chin Voon TongDEARS (Diabetes Emergencies Around Ramadan Study) study group

Abstract

The objective of this study was to determine admissions for diabetes emergencies among patients who fasted or planned to fast one month before, during and one month after Ramadan 2019 in public hospitals in Malaysia. This was a cross sectional prospective study done in 18 public hospitals in Malaysia from 7/4/2019 to 2/7/2019. Data was collected prospectively with universal sampling. All adult Muslim patients with previous diagnosis of diabetes, who were admitted for hypoglycemia, DKA or HHS were included if they had fasted and had intentions to fast. 295 admissions for diabetes emergencies were analyzed. The pre-Ramadan period recorded the highest number of admissions (119) followed by during (106) and post-Ramadan (70). Admissions for hyperglycemic emergencies accounted for 2/3 of total admissions. 37% of admissions for hypoglycemia occurred during pre-Ramadan period compared to 32.1% during Ramadan. Contributing factors included use of sulphonylurea (59.6%), presence of nephropathy (54.5%) and past history of hypoglycemia (45.5%). Admissions for DKA were more common than HHS (119 versus 77) and highest during Ramadan period (36.1%). Most of the admissions for hyperglycemic emergencies were among those with Type 2 diabetes (7...Continue Reading

References

Jul 30, 2010·Diabetes Care·Monira Al-AroujAbraham Thomas
Jul 28, 2012·Indian Journal of Endocrinology and Metabolism·Jamal AhmadAisha Sheikh
Apr 5, 2013·Annals of the New York Academy of Sciences·Ronald C W Ma, Juliana C N Chan
Aug 5, 2015·Journal of Clinical Medicine·Mazen Alsahli, John E Gerich
Mar 30, 2017·Diabetes Research and Clinical Practice·Mohamed HassaneinUNKNOWN International Diabetes Federation (IDF), in collaboration with the Diabetes and Ramadan (DAR) International Alliance
Jan 28, 2019·Diabetes Research and Clinical Practice·Anas S Beshyah, Salem A Beshyah
Nov 17, 2019·Clinical Medicine : Journal of the Royal College of Physicians of London·Chin Voon Tong
Jan 26, 2021·Diabetes Research and Clinical Practice·Mohamed HassaneinMuhammad Yakoob Ahmedani

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