Research Article
Year 2021,
Volume: 8 Issue: 3, 179 - 183, 28.12.2021
Abstract
Bu çalışma ile Ramazan ayında acil servise başvuran diyabetik hastaların glisemik profilinin ortaya konulması amaçlandı. Acil servise hipo veya hiperglisemi ile başvuran ve oruç tuttuğunu ifade eden, 18 yaş üstü hastaların dosyaları geriye dönük olarak incelendi. Çalışmaya 161 (%95.3)’i hiperglisemi, 8 (%4.7)’i hipoglisemi nedeniyle başvuran toplam 169 (139 diyabetik, 30 diyabeti olmayan) hasta dahil edildi. Hastaların kan glukoz düzeyi 36 mg/dl ile 736 mg/dl arasında değişirken, ortalama 279±127 mg/dl olarak hesaplandı. 163 (%96.4) hastanın acil servisten taburcu edildiği, 4 (%2.4) vakanın sevk edildiği ve sadece 2 (%1.2) hastanın hastaneye yatırıldığı görüldü. Ramazan ayında ortaya çıkabilecek metabolik bozukluklar ve semptomlarının titiz takibi ile bilgilendirildikten sonra, diyabetik hastaların herhangi bir ekstra diyet ve ilaç protokolü izlemeden oruç tutabilecekleri görülmektedir. Diyabeti olmayan kişilerde de Ramazan ayında hipo veya hiperglisemi atağı görülebilir. Bu hastaların özellikle prediyabetik durum ve hipo veya hiperglisemiyi tetikleyebilecek altta yatan hastalıklar açısından tetkik edilmesi gereklidir.
Keywords
References
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- 5. Ahmad J, Pathan MF, Jaleel MA, Fathima FN, Raza SA, Khan AK, et al. Diabetic emergencies including hypoglycemia during Ramadan. Indian J Endocrinol Metab. 2012;16:512-5.
- 6. Ahmadani MY, Riaz M, Fawwad A, Hydrie MZ, Hakeem R, Basit A. Glycaemic trend during Ramadan in fasting diabetic subjects: a study from Pakistan. Pak J Biol Sci. 2008;11:2044-7.
- 7. Alabbood MH, Ho KW, Simons MR. The effect of Ramadan fasting on glycaemic control in insulin-dependent diabetic patients: A literature review. Diabetes Metab Syndr 2017;11:83-7.
- 8. Elmehdawi RR, Mukhtad NA, Allaghi NI, Elmajberi SJ. Fasting of Ramadan in peoples with diabetes in Benghazi, Libya: an exploratory study. Libyan J Med 2010, 5: 5036.
- 9. Pallayova M, Zaghloul HB, Arora T, Choudhury SM, Omar OM, Chagoury OL, et al. Investigating physiological glucose excursions before, during, and after Ramadan in adults without diabetes mellitus. Physiol Behav. 2017;179:110-5.
- 10. Chihaoui M, Grira W, Bettaieb J, Yazidi M, Chaker F, Rejeb O, et al. The risk for hypoglycemia during Ramadan fasting in patients with adrenal insufficiency. Nutrition. 2018;45:99-103.
Year 2021,
Volume: 8 Issue: 3, 179 - 183, 28.12.2021
Abstract
In this study, we aimed to identify the glycemic profile of patients admitted to our emergency department during Ramadan. The charts of patients aged 18 years and over who had been fasting religiously and admitted to the Emergency Service with hyperglycemia or hypoglycemia during the month of Ramadan, were reviewed retrospectively. 169 patients (30 non-diabetic, 139 diabetic) were found to be admitted with hyperglycemia (161 cases, 95.3%) or hypoglycemia (8 cases, 4.7%). The blood glucose level ranged from 30 to 736, with an mean of 279±127 mg/dl. 163 cases (96.4%) were discharged from the hospital, 4 cases (2.4%) were referred to another hospital, and only 2 cases (1.2%) were hospitalized. After being informed about the metabolic disturbances that might occur during Ramadan and by meticulous follow-up of their symptoms, there is no harm in terms of urgent complications in the religious fasting of diabetes mellitus patients without complying any extra diet or medication protocol. Non-Diabetic patient scan undergo episodes of hypo or hyperglycemia during Ramadan. Such patients should be investigated for the presence of a prediabetic status or an underlying disease that can trigger a hyper or hypoglycemic episode.
References
- 1. Ghouri N, Gatrad R, Sattar N, Dhami S, Sheikh A. Summer-winter switching of the Ramadan fasts in people with diabetes living in temperate regions. Diabet Med. 2012;29:696-7.
- 2. Raveendran AV, Zargar AH. Diabetes control during Ramadan fasting. Cleve Clin J Med. 2017;84:352-6.
- 3. Shephard RJ. Ramadan and sport: minimizing effects upon the observant athlete. Sports Med. 2013;43:1217-41.
- 4. Afandi B, Kaplan W, Al Hassani N, Hadi S, Mohamed A. Correlation between pre-Ramadan glycemic control and subsequent glucose fluctuation during fasting in adolescents with Type 1 diabetes. J Endocrinol Invest. 2017;40:741-4.
- 5. Ahmad J, Pathan MF, Jaleel MA, Fathima FN, Raza SA, Khan AK, et al. Diabetic emergencies including hypoglycemia during Ramadan. Indian J Endocrinol Metab. 2012;16:512-5.
- 6. Ahmadani MY, Riaz M, Fawwad A, Hydrie MZ, Hakeem R, Basit A. Glycaemic trend during Ramadan in fasting diabetic subjects: a study from Pakistan. Pak J Biol Sci. 2008;11:2044-7.
- 7. Alabbood MH, Ho KW, Simons MR. The effect of Ramadan fasting on glycaemic control in insulin-dependent diabetic patients: A literature review. Diabetes Metab Syndr 2017;11:83-7.
- 8. Elmehdawi RR, Mukhtad NA, Allaghi NI, Elmajberi SJ. Fasting of Ramadan in peoples with diabetes in Benghazi, Libya: an exploratory study. Libyan J Med 2010, 5: 5036.
- 9. Pallayova M, Zaghloul HB, Arora T, Choudhury SM, Omar OM, Chagoury OL, et al. Investigating physiological glucose excursions before, during, and after Ramadan in adults without diabetes mellitus. Physiol Behav. 2017;179:110-5.
- 10. Chihaoui M, Grira W, Bettaieb J, Yazidi M, Chaker F, Rejeb O, et al. The risk for hypoglycemia during Ramadan fasting in patients with adrenal insufficiency. Nutrition. 2018;45:99-103.
There are 10 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Original Article |
| Authors | |
| Publication Date | December 28, 2021 |
| Submission Date | August 24, 2020 |
| Published in Issue | Year 2021 Volume: 8 Issue: 3 |
