Influence of Fasting on Emergency Visits to A Tertiary Care Hospital by Fasting Diabetic Patients in Ramadan
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Abstract
Background: Ramadan, a month of fasting for Muslims, significantly alters daily routines and dietary habits. Understanding how such changes affect diabetic patients, particularly in terms of emergency hospital visits, is crucial for effective healthcare planning and patient safety.
Objective: To evaluate the impact of Ramadan fasting on the frequency of emergency room visits by diabetic patients.
Methods: In this cross-sectional study, 200 diabetic patients visiting a tertiary care hospital's ER were monitored over three months: the month before Ramadan, during Ramadan, and the subsequent month. We assessed the frequency and trend of diabetic emergencies among these patients.
Results: The participants had a mean age of 45.85±9.19 years, with males comprising 52.5% (105) and females 47.5% (95). Overall, diabetic emergencies accounted for 26% of visits, with 59.6% (31) occurring a month before Ramadan, 23.1% (12) during Ramadan, and 17.3% (9) post-Ramadan, showing a downward trend.
Conclusion: Ramadan fasting does not adversely affect diabetic patients, showing no increase in the frequency of emergency visits due to diabetic emergencies, irrespective of diabetes type. This indicates that with proper management, fasting is safe for diabetic patients during Ramadan.
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References
Lessan N, Ali T. Energy metabolism and intermittent fasting: the Ramadan perspective. Nutrients. 2019;11(5):1192.
Goitein SD. Ramadan, the Muslim month of fasting. In: The Development of Islamic Ritual. 2017;15(19):151-71.
Abolaban H, Al Moujahed A. Muslim patients in Ramadan: a review for primary care physicians. Avicenna J Med. 2017;7(3):81-7.
Alghafli Z, Hatch TG, Rose AH, Abo-Zena MM, Marks LD, Dollahite DC. A qualitative study of Ramadan: A month of fasting, family, and faith. Religions. 2019;10(2):123.
Uludag E, Goral Turkcu S. Ramadan fasting as a religious obligation: A qualitative study on opinions and experiences of Muslim pregnant women about fasting in Turkey. J Relig Health. 2022;61(4):2960-74.
Egan AM, Dinneen SF. What is diabetes? Medicine. 2019;47(1):1-4.
Malik U, Mahmood N, Khan KA, Hameed M, Randhawa FA, Salman S, et al. Glycemic control of type 2 diabetic patients during Ramazan fasting. J Ayub Med Coll Abbottabad. 2017;29(1):102-6.
Mustafa M, Jahan S, Waseem M, Ramzan T, Latif D. Comparing fasting homocysteine levels among healthy adults, diabetic and non-diabetic cardiac patients: JRCRS. J Riphah Coll Rehabil Sci. 2018;6(2):63-6.
Abdelgadir EI, Hassanein MM, Bashier AM, Abdelaziz S, Baki S, Chadli A, et al. A prospective multi-country observational trial to compare the incidences of diabetic ketoacidosis in the month of Ramadan, the preceding month, and the following month. J Diabetes Metab Disord. 2016;15(1):1-6.
Langford EJ, Ishaque MA, Fothergill J, Touquet R. The effect of the fast of Ramadan on accident and emergency attendances. J R Soc Med. 1994;87(9):517-18.
Elbarsha A, Elhemri M, Lawgaly SA, Rajab A, Almoghrabi B, Elmehdawia RR, et al. Outcomes and hospital admission patterns in patients with diabetes during Ramadan versus a non-fasting period. Ann Saudi Med. 2018;38(5):344-51.
Salti I, Bénard E, Detournay B, Bianchi-Biscay M, Le Brigand C, Voinet C, et al. 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. Diabetes Care. 2004;27(10):2306-11.
Abdelgadir EI, Hassanein MM, Bashier AM, Abdelaziz S, Baki S, Chadli A, et al. A prospective multi-country observational trial to compare the incidences of diabetic ketoacidosis in the month of Ramadan, the preceding month, and the following month (DKAR international). J Diabetes Metab Disord. 2016;15:50.
AlZahrani AM, Zawawi MM, Almutairi NA, Alansari AY, Bargawi AA. The impact of Ramadan on visits related to diabetes emergencies at a tertiary care center. BMC Emerg Med. 2021 Dec;21(1):162.
Beshyah AS, Elamouri JS, Almagdub I, Abdulrahman H, Hafidh K, Beshyah SA. Burden and Patterns of Medical Emergencies during Ramadan Fasting: A Narrative Review. Ibnosina Journal of Medicine and Biomedical Sciences. 2023 Mar;15(01):005-19.
Faruqi I, Al Mazrouei L, Buhumaid R. Impact of Ramadan on emergency department patients flow; a cross-sectional study in UAE. Advanced journal of emergency medicine. 2020;4(2).
Beshyah SA, Hafidh K, Kenz S, Elmehdawi RR, Mohamed G, Eledrisi M. Ramadan Fasting and Diabetes (2021): the year in review. Journal of Diabetes and Endocrine Practice. 2022 Jan;5(01):008-20.
Alawadi F, Alsaeed M, Bachet F, Bashier A, Abdulla K, Abuelkheir S, Rashid F, Hussain AA, Abdelgadir E, Alsayyah F, Elsayed M. Impact of provision of optimum diabetes care on the safety of fasting in Ramadan in adult and adolescent patients with type 1 diabetes mellitus. diabetes research and clinical practice. 2020 Nov 1;169:108466.
Amin ME, Abdelmageed A. Clinicians’ perspectives on caring for Muslim patients considering fasting during Ramadan. Journal of religion and health. 2020 Jun;59(3):1370-87.