Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism

被引：3

作者：

Shaltout, Inass ^{[1
]}

Abdelwahab, Amr Mahmoud ^{[2
]}

El Meligi, Amr ^{[1
]}

Hammad, Hany ^{[3
]}

Abdelghaffar, Shereen ^{[4
]}

Elbahry, Atef ^{[5
]}

Taha, Nasser ^{[6
]}

Elsaid, Nehal Hamdy ^{[1
]}

Gad, Amr ^{[7
]}

Hammouda, Laila ^{[8
]}

Abdelmaboud, Shaymaa ^{[9
]}

Soliman, Amin Roshdy ^{[3
]}

机构：

[1] Cairo Univ, Internal Med & Diabet Dept, Cairo, Egypt

[2] Minia Univ, Internal Med & Diabet Dept, Al Minya, Egypt

[3] Cairo Univ, Internal Med & Nephrol Dept, Cairo, Egypt

[4] Cairo Univ, Dept Pediat, Pediat Diabet & Endocrinol Unit, Cairo, Egypt

[5] Port Fouad Ctr, Cardiol Unit, Port Fouad, Egypt

[6] Minia Univ, Cardiol Dept, Al Minya, Egypt

[7] Cairo Univ, Vasc Surg Dept, Cairo, Egypt

[8] Minia Univ, Ophthalmol Dept, Al Minya, Egypt

[9] Natl Heart Inst, Cardiol Dept, Giza, Egypt

来源：

CURRENT DIABETES REVIEWS | 2024年 / 20卷 / 07期

基金：

英国科研创新办公室;

关键词：

Diabetes; type; 2; diabetes; 1; fasting; ramadan; risk stratification; CHRONIC KIDNEY-DISEASE; TRANSIENT ISCHEMIC ATTACK; INSULIN PUMP THERAPY; GLYCEMIC CONTROL; CARDIOVASCULAR-DISEASE; SEVERE HYPOGLYCEMIA; MUSLIM PATIENTS; GLUCOSE FLUCTUATION; POSITION STATEMENT; RANDOMIZED-TRIAL;

D O I：

10.2174/0115733998249793231005105724

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background Current international guidelines recommend a pre-Ramadan risk assessment for people with diabetes (PwDM) who plan on fasting during the Holy month. However, a comprehensive risk assessment-based recommendation for the management of PwDM intending to fast is still controversial. Therefore, the Arabic Association for the Study of Diabetes and Metabolism (AASD) developed this consensus to provide further insights into risk stratification in PwDM intending to fast during Ramadan.Methods The present consensus was based on the three-step modified Delphi method. The modified Delphi method is based on a series of voting rounds and in-between meetings of the expert panel to reach agreements on the statements that did not reach the consensus level during voting. The panel group comprised professors and consultants in endocrinology (both adult and pediatric). Other members included experts in the fields of cardiovascular medicine, nephrology, ophthalmology, and vascular surgery, affiliated with academic institutions in Egypt.Results In PwDM who intend to fast during Ramadan, risk stratification is crucial to optimize patient outcomes and prevent serious complications. The present consensus provides risk assessment of those living with diabetes according to several factors, including the type of diabetes, presence, and severity of complications, number of fasting hours, and other socioeconomic factors. According to their risk factors, patients were classified into four categories (very high, high, moderate, and low risk).Conclusion Future research is warranted due to the controversial literature regarding the impact of fasting on certain comorbidities.

引用

页码：1 / 22

页数：22

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[31] Hypoglycemia in patients with type 2 diabetes from India and Malaysia treated with sitagliptin or a sulfonylurea during Ramadan: a randomized, pragmatic study [J].