Tags

Type your tag names separated by a space and hit enter

Attitude, complications, ability of fasting and glycemic control in fasting Ramadan by children and adolescents with type 1 diabetes mellitus.
Diabetes Res Clin Pract. 2017 Apr; 126:10-15.DR

Abstract

OBJECTIVES

Sick individuals and children are exempted from fasting Ramadan. Fasting by type 1 diabetes patients might predispose to acute complications. There are no guidelines on fasting safety or its impact on diabetes control in children and adolescents. We aim to assess patients' attitude towards fasting, frequency of complications and impact on glycemic control in children with type 1 diabetes.

RESEARCH DESIGN & METHODS

65 children with type 1 diabetes were enrolled. The study involved 2 hospital visits. Questionnaires were filled in each visit and HbA1c was recorded. Log books indicating symptomatic hypoglycemia and hyperglycemia leading to breaking fast were obtained.

RESULTS

Majority of subjects were willing to fast and 75% were encouraged by parents to do. 57% and 26% fasted more than half and all through the month respectively. 52% had, at least, one episode of hypoglycemia and 29% had hyperglycemia with one episode of ketoacidosis. All patients broke fast in response to symptomatic hypoglycemia/hyperglycemia. There was no significant difference between the frequency of complications in the pump or the Multiple Daily Injection (MDI) groups. Mean HbA1c increased from 70mmol/mol to 73mmol/mol. The difference was not statistically significant.

CONCLUSION

Children and adolescents with type 1 diabetes are keen to fast Ramadan and they are able to fast a significant number of days. Hypoglycemia and hyperglycemia are not uncommon with no difference between Pump or in MDI users. Breaking fast on occurrence of complications makes fasting safe. Glycemic control might deteriorate during the month and the following Eid.

Authors+Show Affiliations

Paediatric Endocrinology Department, Mafraq Hospital, AbuDhabi, United Arab Emirates. Electronic address: adeeb@seha.ae.Paediatric Endocrinology Department, Mafraq Hospital, AbuDhabi, United Arab Emirates.Paediatric Endocrinology Department, Mafraq Hospital, AbuDhabi, United Arab Emirates.Medical School, Gulf University, Ajman, United Arab Emirates.Medical School, Gulf University, Ajman, United Arab Emirates.Paediatric Endocrinology Department, Mafraq Hospital, AbuDhabi, United Arab Emirates.Paediatric Endocrinology Department, Mafraq Hospital, AbuDhabi, United Arab Emirates.Paediatric Endocrinology Department, Mafraq Hospital, AbuDhabi, United Arab Emirates.Institute of Public Health, Emirates University, Al Ain, United Arab Emirates.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28189949

Citation

Deeb, Asma, et al. "Attitude, Complications, Ability of Fasting and Glycemic Control in Fasting Ramadan By Children and Adolescents With Type 1 Diabetes Mellitus." Diabetes Research and Clinical Practice, vol. 126, 2017, pp. 10-15.
Deeb A, Al Qahtani N, Akle M, et al. Attitude, complications, ability of fasting and glycemic control in fasting Ramadan by children and adolescents with type 1 diabetes mellitus. Diabetes Res Clin Pract. 2017;126:10-15.
Deeb, A., Al Qahtani, N., Akle, M., Singh, H., Assadi, R., Attia, S., Al Suwaidi, H., Hussain, T., & Naglekerke, N. (2017). Attitude, complications, ability of fasting and glycemic control in fasting Ramadan by children and adolescents with type 1 diabetes mellitus. Diabetes Research and Clinical Practice, 126, 10-15. https://doi.org/10.1016/j.diabres.2017.01.015
Deeb A, et al. Attitude, Complications, Ability of Fasting and Glycemic Control in Fasting Ramadan By Children and Adolescents With Type 1 Diabetes Mellitus. Diabetes Res Clin Pract. 2017;126:10-15. PubMed PMID: 28189949.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Attitude, complications, ability of fasting and glycemic control in fasting Ramadan by children and adolescents with type 1 diabetes mellitus. AU - Deeb,Asma, AU - Al Qahtani,Nabras, AU - Akle,Mariette, AU - Singh,Himanshi, AU - Assadi,Rifah, AU - Attia,Salima, AU - Al Suwaidi,Hana, AU - Hussain,Tara, AU - Naglekerke,Nico, Y1 - 2017/02/01/ PY - 2016/09/17/received PY - 2017/01/06/revised PY - 2017/01/20/accepted PY - 2017/2/13/pubmed PY - 2017/6/1/medline PY - 2017/2/13/entrez KW - Children KW - Fasting KW - Hyperglycemia KW - Hypoglycemia KW - Ramadan KW - Type 1 diabetes SP - 10 EP - 15 JF - Diabetes research and clinical practice JO - Diabetes Res Clin Pract VL - 126 N2 - OBJECTIVES: Sick individuals and children are exempted from fasting Ramadan. Fasting by type 1 diabetes patients might predispose to acute complications. There are no guidelines on fasting safety or its impact on diabetes control in children and adolescents. We aim to assess patients' attitude towards fasting, frequency of complications and impact on glycemic control in children with type 1 diabetes. RESEARCH DESIGN & METHODS: 65 children with type 1 diabetes were enrolled. The study involved 2 hospital visits. Questionnaires were filled in each visit and HbA1c was recorded. Log books indicating symptomatic hypoglycemia and hyperglycemia leading to breaking fast were obtained. RESULTS: Majority of subjects were willing to fast and 75% were encouraged by parents to do. 57% and 26% fasted more than half and all through the month respectively. 52% had, at least, one episode of hypoglycemia and 29% had hyperglycemia with one episode of ketoacidosis. All patients broke fast in response to symptomatic hypoglycemia/hyperglycemia. There was no significant difference between the frequency of complications in the pump or the Multiple Daily Injection (MDI) groups. Mean HbA1c increased from 70mmol/mol to 73mmol/mol. The difference was not statistically significant. CONCLUSION: Children and adolescents with type 1 diabetes are keen to fast Ramadan and they are able to fast a significant number of days. Hypoglycemia and hyperglycemia are not uncommon with no difference between Pump or in MDI users. Breaking fast on occurrence of complications makes fasting safe. Glycemic control might deteriorate during the month and the following Eid. SN - 1872-8227 UR - https://www.unboundmedicine.com/medline/citation/28189949/Attitude_complications_ability_of_fasting_and_glycemic_control_in_fasting_Ramadan_by_children_and_adolescents_with_type_1_diabetes_mellitus_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0168-8227(16)30611-8 DB - PRIME DP - Unbound Medicine ER -