A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: Results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study
The aim of this study was to assess the characteristics and care of patients with diabetes in countries with a sizable Muslim population and to study diabetes features during Ramadan and the effect of fasting. This was a population-based, retrospective, transversal survey conducted in 13 countries....
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| Veröffentlicht in: | Diabetes care 2004-10, Vol.27 (10), p.2306-2311 |
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| container_title | Diabetes care |
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| creator | SALTI, Ibrahim BENARD, Eric DETOURNAY, Bruno BIANCHI-BISCAY, Monique LE BRIGAND, Corinne VOINET, Céline JABBAR, Abdul |
| description | The aim of this study was to assess the characteristics and care of patients with diabetes in countries with a sizable Muslim population and to study diabetes features during Ramadan and the effect of fasting.
This was a population-based, retrospective, transversal survey conducted in 13 countries. A total of 12,914 patients with diabetes were recruited using a stratified sampling method, and 12,243 were considered for the analysis.
Investigators recruited 1,070 (8.7%) patients with type 1 diabetes and 11,173 (91.3%) patients with type 2 diabetes. During Ramadan, 42.8% of patients with type 1 diabetes and 78.7% with type 2 diabetes fasted for at least 15 days. Less than 50% of the whole population changed their treatment dose (approximately one-fourth of patients treated with oral antidiabetic drugs [OADs] and one-third of patients using insulin). Severe hypoglycemic episodes were significantly more frequent during Ramadan compared with other months (type 1 diabetes, 0.14 vs. 0.03 episode/month, P = 0.0174; type 2 diabetes, 0.03 vs. 0.004 episode/month, P < 0.0001). Severe hypoglycemia was more frequent in subjects who changed their dose of OADs or insulin or modified their level of physical activity.
The large proportion of both type 1 and type 2 diabetic subjects who fast during Ramadan represent a challenge to their physicians. There is a need to provide more intensive education before fasting, to disseminate guidelines, and to propose further studies assessing the impact of fasting on morbidity and mortality. |
| doi_str_mv | 10.2337/diacare.27.10.2306 |
| format | Article |
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This was a population-based, retrospective, transversal survey conducted in 13 countries. A total of 12,914 patients with diabetes were recruited using a stratified sampling method, and 12,243 were considered for the analysis.
Investigators recruited 1,070 (8.7%) patients with type 1 diabetes and 11,173 (91.3%) patients with type 2 diabetes. During Ramadan, 42.8% of patients with type 1 diabetes and 78.7% with type 2 diabetes fasted for at least 15 days. Less than 50% of the whole population changed their treatment dose (approximately one-fourth of patients treated with oral antidiabetic drugs [OADs] and one-third of patients using insulin). Severe hypoglycemic episodes were significantly more frequent during Ramadan compared with other months (type 1 diabetes, 0.14 vs. 0.03 episode/month, P = 0.0174; type 2 diabetes, 0.03 vs. 0.004 episode/month, P < 0.0001). Severe hypoglycemia was more frequent in subjects who changed their dose of OADs or insulin or modified their level of physical activity.
The large proportion of both type 1 and type 2 diabetic subjects who fast during Ramadan represent a challenge to their physicians. There is a need to provide more intensive education before fasting, to disseminate guidelines, and to propose further studies assessing the impact of fasting on morbidity and mortality.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/diacare.27.10.2306</identifier><identifier>PMID: 15451892</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adaptation, Physiological ; Age Distribution ; Aged ; Biological and medical sciences ; Cohort Studies ; Diabetes ; Diabetes Mellitus, Type 1 - therapy ; Diabetes Mellitus, Type 2 - therapy ; Diabetes. Impaired glucose tolerance ; Diagnosis ; Diet, Diabetic ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Epidemiology ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Fasting ; Female ; Follow-Up Studies ; Humans ; Hypoglycemia ; Hypoglycemia - epidemiology ; Hypoglycemia - etiology ; Hypoglycemic Agents - administration & dosage ; Incidence ; Insulin - administration & dosage ; Islam ; Life Style ; Male ; Medical sciences ; Middle Aged ; Multicenter Studies as Topic ; Muslims ; Pakistan ; Probability ; Public health ; Ramadan ; Retrospective Studies ; Risk Assessment ; Risk factors ; Sex Distribution</subject><ispartof>Diabetes care, 2004-10, Vol.27 (10), p.2306-2311</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright 2004 American Diabetes Association</rights><rights>COPYRIGHT 2004 American Diabetes Association</rights><rights>Copyright American Diabetes Association Oct 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16160001$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15451892$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SALTI, Ibrahim</creatorcontrib><creatorcontrib>BENARD, Eric</creatorcontrib><creatorcontrib>DETOURNAY, Bruno</creatorcontrib><creatorcontrib>BIANCHI-BISCAY, Monique</creatorcontrib><creatorcontrib>LE BRIGAND, Corinne</creatorcontrib><creatorcontrib>VOINET, Céline</creatorcontrib><creatorcontrib>JABBAR, Abdul</creatorcontrib><creatorcontrib>EPIDIAR study group</creatorcontrib><title>A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: Results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>The aim of this study was to assess the characteristics and care of patients with diabetes in countries with a sizable Muslim population and to study diabetes features during Ramadan and the effect of fasting.
This was a population-based, retrospective, transversal survey conducted in 13 countries. A total of 12,914 patients with diabetes were recruited using a stratified sampling method, and 12,243 were considered for the analysis.
Investigators recruited 1,070 (8.7%) patients with type 1 diabetes and 11,173 (91.3%) patients with type 2 diabetes. During Ramadan, 42.8% of patients with type 1 diabetes and 78.7% with type 2 diabetes fasted for at least 15 days. Less than 50% of the whole population changed their treatment dose (approximately one-fourth of patients treated with oral antidiabetic drugs [OADs] and one-third of patients using insulin). Severe hypoglycemic episodes were significantly more frequent during Ramadan compared with other months (type 1 diabetes, 0.14 vs. 0.03 episode/month, P = 0.0174; type 2 diabetes, 0.03 vs. 0.004 episode/month, P < 0.0001). Severe hypoglycemia was more frequent in subjects who changed their dose of OADs or insulin or modified their level of physical activity.
The large proportion of both type 1 and type 2 diabetic subjects who fast during Ramadan represent a challenge to their physicians. There is a need to provide more intensive education before fasting, to disseminate guidelines, and to propose further studies assessing the impact of fasting on morbidity and mortality.</description><subject>Adaptation, Physiological</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - therapy</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diagnosis</subject><subject>Diet, Diabetic</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Epidemiology</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Fasting</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypoglycemia</subject><subject>Hypoglycemia - epidemiology</subject><subject>Hypoglycemia - etiology</subject><subject>Hypoglycemic Agents - administration & dosage</subject><subject>Incidence</subject><subject>Insulin - administration & dosage</subject><subject>Islam</subject><subject>Life Style</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multicenter Studies as Topic</subject><subject>Muslims</subject><subject>Pakistan</subject><subject>Probability</subject><subject>Public health</subject><subject>Ramadan</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk factors</subject><subject>Sex Distribution</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkt9qFDEUxgdR7Lb6Al5IEBS9mO0kk2Qm3i1t1YWCsuj1cCZzspsyk6xJ5qJP56uZdbcIWnKR8PE7f_i-FMUrWi1ZXTeXgwUNAZesWf6RKvmkWFBVi1II3j4tFhXlqhRKsbPiPMa7qqo4b9vnxRkVXNBWsUXxa0X2fj-PkKx3ZQ8RBxLTPNwTb0ge0GPCSMANxKZI9A4C6ITBxmR1JMMcrNuStENiIEv5PXmXdofiDUwwgCPWEVoT7WeXgsX4kWwwzmNulplDIe7tgJP1o9_-P_ShCeWMXbKqouT9zbf19Xq1-XBc80XxzMAY8eXpvih-fLr5fvWlvP36eX21ui23NaepBKE4KANSowI1UC6ZqBvTa0ZN3cteK6WV0NI0QjA6YCv7qmG61pRTIypRXxTvjn33wf-cMaZuslHjOIJDP8dOSkW5aNoMvvkHvPNzcHm3juWIRHadZqg8QlsYsbPO-JR93aLDAKN3aGyWVzSnzCSnh-nLR_h8Ds7pRwten7aY-wmHbh_sBOG-ewg-A29PAEQNowngtI1_OUll_i60_g0cLr0J</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>SALTI, Ibrahim</creator><creator>BENARD, Eric</creator><creator>DETOURNAY, Bruno</creator><creator>BIANCHI-BISCAY, Monique</creator><creator>LE BRIGAND, Corinne</creator><creator>VOINET, Céline</creator><creator>JABBAR, Abdul</creator><general>American Diabetes Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20041001</creationdate><title>A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: Results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study</title><author>SALTI, Ibrahim ; BENARD, Eric ; DETOURNAY, Bruno ; BIANCHI-BISCAY, Monique ; LE BRIGAND, Corinne ; VOINET, Céline ; JABBAR, Abdul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g341t-a594a9fa6ce9a9d1462537fbc21f3b6bc99c95c6f75521de86b072c3c141f5053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adaptation, Physiological</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 1 - therapy</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Diabetes. 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Target tissue resistance</topic><topic>Fasting</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hypoglycemia</topic><topic>Hypoglycemia - epidemiology</topic><topic>Hypoglycemia - etiology</topic><topic>Hypoglycemic Agents - administration & dosage</topic><topic>Incidence</topic><topic>Insulin - administration & dosage</topic><topic>Islam</topic><topic>Life Style</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multicenter Studies as Topic</topic><topic>Muslims</topic><topic>Pakistan</topic><topic>Probability</topic><topic>Public health</topic><topic>Ramadan</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk factors</topic><topic>Sex Distribution</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SALTI, Ibrahim</creatorcontrib><creatorcontrib>BENARD, Eric</creatorcontrib><creatorcontrib>DETOURNAY, Bruno</creatorcontrib><creatorcontrib>BIANCHI-BISCAY, Monique</creatorcontrib><creatorcontrib>LE BRIGAND, Corinne</creatorcontrib><creatorcontrib>VOINET, Céline</creatorcontrib><creatorcontrib>JABBAR, Abdul</creatorcontrib><creatorcontrib>EPIDIAR study group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SALTI, Ibrahim</au><au>BENARD, Eric</au><au>DETOURNAY, Bruno</au><au>BIANCHI-BISCAY, Monique</au><au>LE BRIGAND, Corinne</au><au>VOINET, Céline</au><au>JABBAR, Abdul</au><aucorp>EPIDIAR study group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: Results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2004-10-01</date><risdate>2004</risdate><volume>27</volume><issue>10</issue><spage>2306</spage><epage>2311</epage><pages>2306-2311</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>The aim of this study was to assess the characteristics and care of patients with diabetes in countries with a sizable Muslim population and to study diabetes features during Ramadan and the effect of fasting.
This was a population-based, retrospective, transversal survey conducted in 13 countries. A total of 12,914 patients with diabetes were recruited using a stratified sampling method, and 12,243 were considered for the analysis.
Investigators recruited 1,070 (8.7%) patients with type 1 diabetes and 11,173 (91.3%) patients with type 2 diabetes. During Ramadan, 42.8% of patients with type 1 diabetes and 78.7% with type 2 diabetes fasted for at least 15 days. Less than 50% of the whole population changed their treatment dose (approximately one-fourth of patients treated with oral antidiabetic drugs [OADs] and one-third of patients using insulin). Severe hypoglycemic episodes were significantly more frequent during Ramadan compared with other months (type 1 diabetes, 0.14 vs. 0.03 episode/month, P = 0.0174; type 2 diabetes, 0.03 vs. 0.004 episode/month, P < 0.0001). Severe hypoglycemia was more frequent in subjects who changed their dose of OADs or insulin or modified their level of physical activity.
The large proportion of both type 1 and type 2 diabetic subjects who fast during Ramadan represent a challenge to their physicians. There is a need to provide more intensive education before fasting, to disseminate guidelines, and to propose further studies assessing the impact of fasting on morbidity and mortality.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>15451892</pmid><doi>10.2337/diacare.27.10.2306</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0149-5992 |
| ispartof | Diabetes care, 2004-10, Vol.27 (10), p.2306-2311 |
| issn | 0149-5992 1935-5548 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adaptation, Physiological Age Distribution Aged Biological and medical sciences Cohort Studies Diabetes Diabetes Mellitus, Type 1 - therapy Diabetes Mellitus, Type 2 - therapy Diabetes. Impaired glucose tolerance Diagnosis Diet, Diabetic Endocrine pancreas. Apud cells (diseases) Endocrinopathies Epidemiology Etiopathogenesis. Screening. Investigations. Target tissue resistance Fasting Female Follow-Up Studies Humans Hypoglycemia Hypoglycemia - epidemiology Hypoglycemia - etiology Hypoglycemic Agents - administration & dosage Incidence Insulin - administration & dosage Islam Life Style Male Medical sciences Middle Aged Multicenter Studies as Topic Muslims Pakistan Probability Public health Ramadan Retrospective Studies Risk Assessment Risk factors Sex Distribution |
| title | A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: Results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study |
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