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Erschienen in: Journal of Diabetes & Metabolic Disorders 1/2021

02.05.2021 | Commentary

Ramadan fasting and diabetes, latest evidence and technological advancements: 2021 update

verfasst von: Ali Tootee, Bagher Larijan

Erschienen in: Journal of Diabetes & Metabolic Disorders | Ausgabe 1/2021

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Abstract

Development of updated guidelines for management of diabetes in Ramadan Fasting is of paramount importance. Nonetheless, evidence-based guidelines in the field of Ramadan Fasting and Diabetes are scarce. Moreover, findings of some recent research such as effects of Ramadan fasting on microbiota, genetics and epigenetics, hormonal changes (such as adiponectin, leptin, testosterone…), and alternations in circadian rhythm should also be reviewed and included on a yearly basis. It is documented that self-monitoring of blood glucose (SMBG) is of vital importance for patients with type 1 diabetes who fast, and advantages of continuous glucose monitoring (CGM) or flash glucose monitoring (FGM) techniques should be highlighted. Moreover, the recent findings about applications of advanced insulin delivery technology in patients with diabetes who fast in Ramadan should also considered in the annual updates of the guidelines.
Literatur
1.
Zurück zum Zitat IDF Diabetes Atlas. International Diabetes Federation Brussels, Belgium; (2019). IDF Diabetes Atlas. International Diabetes Federation Brussels, Belgium; (2019).
2.
Zurück zum Zitat Ghani F. Most Muslims say they fast during Ramadan. (2013). Ghani F. Most Muslims say they fast during Ramadan. (2013).
3.
Zurück zum Zitat Ahmad S, Shukla AK, Shrama S, Pant B, Tripathi MK. Effects of Ramadan Fasting on Social, Psychological and Physical Well Being to Health. International Journal of Contemporary Microbiology. 2015;1(2):25–9.CrossRef Ahmad S, Shukla AK, Shrama S, Pant B, Tripathi MK. Effects of Ramadan Fasting on Social, Psychological and Physical Well Being to Health. International Journal of Contemporary Microbiology. 2015;1(2):25–9.CrossRef
4.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
5.
Zurück zum Zitat Hassanein M, Abdelgadir E, Bashier A, Rashid F, Al Saeed M, Khalifa A, et al. The role of optimum diabetes care in form of Ramadan focused diabetes education, flash glucose monitoring system and pre-Ramadan dose adjustments in the safety of Ramadan fasting in high risk patients with diabetes. Diabetes Res Clin Pract. 2019;150:288–95.PubMedCrossRef Hassanein M, Abdelgadir E, Bashier A, Rashid F, Al Saeed M, Khalifa A, et al. The role of optimum diabetes care in form of Ramadan focused diabetes education, flash glucose monitoring system and pre-Ramadan dose adjustments in the safety of Ramadan fasting in high risk patients with diabetes. Diabetes Res Clin Pract. 2019;150:288–95.PubMedCrossRef
6.
Zurück zum Zitat Tourkmani AM, Alharbi TJ, Rsheed AMB, AlRasheed AN, AlBattal SM, Abdelhay O, et al. Impact of Ramadan Focused Education Program on medications adjustment for patients with type 2 diabetes in a primary health care institution in Saudi Arabia. Diabetes Metab Syndr. 2019;13(1):161–5.PubMedCrossRef Tourkmani AM, Alharbi TJ, Rsheed AMB, AlRasheed AN, AlBattal SM, Abdelhay O, et al. Impact of Ramadan Focused Education Program on medications adjustment for patients with type 2 diabetes in a primary health care institution in Saudi Arabia. Diabetes Metab Syndr. 2019;13(1):161–5.PubMedCrossRef
7.
Zurück zum Zitat Benaji B, Mounib N, Roky R, Aadil N, Houti I, Moussamih S, et al. Diabetes and Ramadan: review of the literature. Diabetes Res Clin Pract. 2006;73(2):117–25.PubMedCrossRef Benaji B, Mounib N, Roky R, Aadil N, Houti I, Moussamih S, et al. Diabetes and Ramadan: review of the literature. Diabetes Res Clin Pract. 2006;73(2):117–25.PubMedCrossRef
8.
Zurück zum Zitat Bravis V, Hui E, Salih S, Mehar S, Hassanein M, Devendra D. Ramadan Education and Awareness in Diabetes (READ) programme for Muslims with Type 2 diabetes who fast during Ramadan. Diabet Med. 2010;27(3):327–31.PubMedCrossRef Bravis V, Hui E, Salih S, Mehar S, Hassanein M, Devendra D. Ramadan Education and Awareness in Diabetes (READ) programme for Muslims with Type 2 diabetes who fast during Ramadan. Diabet Med. 2010;27(3):327–31.PubMedCrossRef
9.
Zurück zum Zitat Haghdoost A, Poorranjbar M. The interaction between physical activity and fasting on the serum lipid profile during Ramadan. (2009). Haghdoost A, Poorranjbar M. The interaction between physical activity and fasting on the serum lipid profile during Ramadan. (2009).
10.
Zurück zum Zitat Ann W. Recognizing & Treating Hypoglycemia, Hyperglycemia & Other Diabetes-related Health Problems. Ann W. Recognizing & Treating Hypoglycemia, Hyperglycemia & Other Diabetes-related Health Problems.
11.
12.
Zurück zum Zitat Hassanein M, Alamoudi RM, Kallash M-A, Aljohani NJ, Alfadhli EM, El Tony L, et al. Ramadan fasting in people with type 1 diabetes during COVID-19 pandemic: The DaR Global survey. diabetes research and clinical practice. (2021);172:108626. Hassanein M, Alamoudi RM, Kallash M-A, Aljohani NJ, Alfadhli EM, El Tony L, et al. Ramadan fasting in people with type 1 diabetes during COVID-19 pandemic: The DaR Global survey. diabetes research and clinical practice. (2021);172:108626.
13.
Zurück zum Zitat Loh HH, Lim LL, Loh HS, Yee A. Safety of Ramadan fasting in young patients with type 1 diabetes: A systematic review and meta-analysis. Journal of diabetes investigation. 2019;10(6):1490–501.PubMedPubMedCentralCrossRef Loh HH, Lim LL, Loh HS, Yee A. Safety of Ramadan fasting in young patients with type 1 diabetes: A systematic review and meta-analysis. Journal of diabetes investigation. 2019;10(6):1490–501.PubMedPubMedCentralCrossRef
15.
Zurück zum Zitat Cameron FJ, Amin R, De Beaufort C, Codner E, Acerini CL. Diabetes in adolescence Pediatric diabetes. 2014;15:245–56.PubMedCrossRef Cameron FJ, Amin R, De Beaufort C, Codner E, Acerini CL. Diabetes in adolescence Pediatric diabetes. 2014;15:245–56.PubMedCrossRef
16.
Zurück zum Zitat Miller VA, Xiao R, Slick N, Feudtner C, Willi SM. Youth Involvement in the Decision to Start CGM Predicts Subsequent CGM Use. Diabetes Care. 2020;43(10):2355–61.PubMedCrossRef Miller VA, Xiao R, Slick N, Feudtner C, Willi SM. Youth Involvement in the Decision to Start CGM Predicts Subsequent CGM Use. Diabetes Care. 2020;43(10):2355–61.PubMedCrossRef
17.
Zurück zum Zitat Bonakdaran S, Khajeh-Dalouie M. The effects of fasting during Ramadan on glycemic excursions detected by continuous glucose monitoring system (CGMS) in patients with type 2 diabetes. Med J Malaysia. 2011;66(5):447–50.PubMed Bonakdaran S, Khajeh-Dalouie M. The effects of fasting during Ramadan on glycemic excursions detected by continuous glucose monitoring system (CGMS) in patients with type 2 diabetes. Med J Malaysia. 2011;66(5):447–50.PubMed
18.
Zurück zum Zitat Lessan N, Hannoun Z, Hasan H, Barakat M. Glucose excursions and glycaemic control during Ramadan fasting in diabetic patients: insights from continuous glucose monitoring (CGM). Diabetes Metab. 2015;41(1):28–36.PubMedCrossRef Lessan N, Hannoun Z, Hasan H, Barakat M. Glucose excursions and glycaemic control during Ramadan fasting in diabetic patients: insights from continuous glucose monitoring (CGM). Diabetes Metab. 2015;41(1):28–36.PubMedCrossRef
19.
Zurück zum Zitat Kaplan W, Afandi B, Al Hassani N, Hadi S, Zoubeidi T. Comparison of continuous glucose monitoring in adolescents with type 1 diabetes: Ramadan versus non-Ramadan. Diabetes Res Clin Pract. 2017;134:178–82.PubMedCrossRef Kaplan W, Afandi B, Al Hassani N, Hadi S, Zoubeidi T. Comparison of continuous glucose monitoring in adolescents with type 1 diabetes: Ramadan versus non-Ramadan. Diabetes Res Clin Pract. 2017;134:178–82.PubMedCrossRef
20.
Zurück zum Zitat Afandi B, Kaplan W, Majd L, Roubi S. Rate, timing, and severity of hypoglycemia in adolescents with type 1 diabetes during Ramadan fasting: a study with freestyle libre flash glucose monitoring system. Ibnosina Journal of Medicine and Biomedical Sciences. 2018;10(1):9.CrossRef Afandi B, Kaplan W, Majd L, Roubi S. Rate, timing, and severity of hypoglycemia in adolescents with type 1 diabetes during Ramadan fasting: a study with freestyle libre flash glucose monitoring system. Ibnosina Journal of Medicine and Biomedical Sciences. 2018;10(1):9.CrossRef
21.
Zurück zum Zitat Eltoum N, Washi S, Al Twaim A. Dietary habits and nutrients intake of diabetic adolescents during Ramadan fasting. International Journal of Food, Nutrition and Public Health. (2014);7(1). Eltoum N, Washi S, Al Twaim A. Dietary habits and nutrients intake of diabetic adolescents during Ramadan fasting. International Journal of Food, Nutrition and Public Health. (2014);7(1).
22.
Zurück zum Zitat Deeb A, Elbarbary N, Smart CE, Beshyah SA, Habeb A, Kalra S, et al. ISPAD Clinical Practice Consensus Guidelines: Fasting during Ramadan by young people with diabetes. Pediatr Diabetes. 2020;21(1):5–17.PubMedCrossRef Deeb A, Elbarbary N, Smart CE, Beshyah SA, Habeb A, Kalra S, et al. ISPAD Clinical Practice Consensus Guidelines: Fasting during Ramadan by young people with diabetes. Pediatr Diabetes. 2020;21(1):5–17.PubMedCrossRef
23.
Zurück zum Zitat Bell KJ, Smart CE, Steil GM, Brand-Miller JC, King B, Wolpert HA. Impact of fat, protein, and glycemic index on postprandial glucose control in type 1 diabetes: implications for intensive diabetes management in the continuous glucose monitoring era. Diabetes Care. 2015;38(6):1008–15.PubMedCrossRef Bell KJ, Smart CE, Steil GM, Brand-Miller JC, King B, Wolpert HA. Impact of fat, protein, and glycemic index on postprandial glucose control in type 1 diabetes: implications for intensive diabetes management in the continuous glucose monitoring era. Diabetes Care. 2015;38(6):1008–15.PubMedCrossRef
24.
Zurück zum Zitat Ibrahim M, Al Magd MA, Annabi FA, Assaad-Khalil S, Ba-Essa EM, Fahdil I, et al. Recommendations for management of diabetes during Ramadan: update 2015. BMJ Open Diabetes Res Care. 2015;3(1):e000108.PubMedPubMedCentralCrossRef Ibrahim M, Al Magd MA, Annabi FA, Assaad-Khalil S, Ba-Essa EM, Fahdil I, et al. Recommendations for management of diabetes during Ramadan: update 2015. BMJ Open Diabetes Res Care. 2015;3(1):e000108.PubMedPubMedCentralCrossRef
25.
Zurück zum Zitat Al-Khawari M, Al-Ruwayeh A, Al-Doub K, Allgrove J. Adolescents on basal-bolus insulin can fast during Ramadan. Pediatr Diabetes. 2010;11(2):96–100.PubMedCrossRef Al-Khawari M, Al-Ruwayeh A, Al-Doub K, Allgrove J. Adolescents on basal-bolus insulin can fast during Ramadan. Pediatr Diabetes. 2010;11(2):96–100.PubMedCrossRef
26.
Zurück zum Zitat Danne T, Bangstad HJ, Deeb L, Jarosz-Chobot P, Mungaie L, Saboo B, et al. Insulin treatment in children and adolescents with diabetes. Pediatr Diabetes. 2014;15(S20):115–34.PubMedCrossRef Danne T, Bangstad HJ, Deeb L, Jarosz-Chobot P, Mungaie L, Saboo B, et al. Insulin treatment in children and adolescents with diabetes. Pediatr Diabetes. 2014;15(S20):115–34.PubMedCrossRef
27.
Zurück zum Zitat Al-Arouj M, Assaad-Khalil S, Buse J, Fahdil I, Fahmy M, Hafez S, et al. Recommendations for management of diabetes during Ramadan: update 2010. Diabetes Care. 2010;33(8):1895–902.PubMedCrossRef Al-Arouj M, Assaad-Khalil S, Buse J, Fahdil I, Fahmy M, Hafez S, et al. Recommendations for management of diabetes during Ramadan: update 2010. Diabetes Care. 2010;33(8):1895–902.PubMedCrossRef
28.
Zurück zum Zitat Hassanein M, Al-Arouj M, Hamdy O, Bebakar WMW, Jabbar A, Al-Madani A, et al. Diabetes and Ramadan: practical guidelines. Diabetes Res Clin Pract. 2017;126:303–16.PubMedCrossRef Hassanein M, Al-Arouj M, Hamdy O, Bebakar WMW, Jabbar A, Al-Madani A, et al. Diabetes and Ramadan: practical guidelines. Diabetes Res Clin Pract. 2017;126:303–16.PubMedCrossRef
29.
Zurück zum Zitat 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(7):741–4.PubMedCrossRef 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(7):741–4.PubMedCrossRef
30.
Zurück zum Zitat AlAlwan I, Al BA. effects of Ramadan fasting on children with type 1 diabetes. International Journal of Diabetes Mellitus. 2010;2(2):127–9.CrossRef AlAlwan I, Al BA. effects of Ramadan fasting on children with type 1 diabetes. International Journal of Diabetes Mellitus. 2010;2(2):127–9.CrossRef
31.
Zurück zum Zitat Smart CE, King BR, Lopez PE. Insulin dosing for fat and protein: is it time? Diabetes Care. 2020;43(1):13–5.PubMedCrossRef Smart CE, King BR, Lopez PE. Insulin dosing for fat and protein: is it time? Diabetes Care. 2020;43(1):13–5.PubMedCrossRef
32.
Zurück zum Zitat Beshyah SA. Fasting during the month of Ramadan for people with diabetes: medicine and Fiqh united at last. Ibnosina J Med Biomed Sci. 2009;1(2):58–60.CrossRef Beshyah SA. Fasting during the month of Ramadan for people with diabetes: medicine and Fiqh united at last. Ibnosina J Med Biomed Sci. 2009;1(2):58–60.CrossRef
33.
Zurück zum Zitat Jabbar A, Hassanein M, Beshyah SA, Boye KS, Yu M, Babineaux SM. CREED study: Hypoglycaemia during Ramadan in individuals with Type 2 diabetes mellitus from three continents. Diabetes Res Clin Pract. 2017;132:19–26.PubMedCrossRef Jabbar A, Hassanein M, Beshyah SA, Boye KS, Yu M, Babineaux SM. CREED study: Hypoglycaemia during Ramadan in individuals with Type 2 diabetes mellitus from three continents. Diabetes Res Clin Pract. 2017;132:19–26.PubMedCrossRef
34.
Zurück zum Zitat Elhadd T, Dabbous Z, Bashir M, Elzouki A, Ghadban W, Baagar K, et al. Incidence of hypoglycaemia in patients with type-2 diabetes taking multiple glucose lowering therapies during Ramadan: the PROFAST Ramadan Study. J Diabetes Metab Disord. 2018;17(2):309–14.PubMedPubMedCentralCrossRef Elhadd T, Dabbous Z, Bashir M, Elzouki A, Ghadban W, Baagar K, et al. Incidence of hypoglycaemia in patients with type-2 diabetes taking multiple glucose lowering therapies during Ramadan: the PROFAST Ramadan Study. J Diabetes Metab Disord. 2018;17(2):309–14.PubMedPubMedCentralCrossRef
35.
Zurück zum Zitat Vasan S, Thomas N, Bharani AM, Abraham S, Job V, John B, et al. A double-blind, randomized, multicenter study evaluating the effects of pioglitazone in fasting Muslim subjects during Ramadan. Int J Diabetes Dev Ctries. 2006;26(June):70–6. Vasan S, Thomas N, Bharani AM, Abraham S, Job V, John B, et al. A double-blind, randomized, multicenter study evaluating the effects of pioglitazone in fasting Muslim subjects during Ramadan. Int J Diabetes Dev Ctries. 2006;26(June):70–6.
36.
Zurück zum Zitat Cesur M, Corapcioglu D, Gursoy A, Gonen S, Ozduman M, Emral R, et al. A comparison of glycemic effects of glimepiride, repaglinide, and insulin glargine in type 2 diabetes mellitus during Ramadan fasting. Diabetes Res Clin Pract. 2007;75(2):141–7.PubMedCrossRef Cesur M, Corapcioglu D, Gursoy A, Gonen S, Ozduman M, Emral R, et al. A comparison of glycemic effects of glimepiride, repaglinide, and insulin glargine in type 2 diabetes mellitus during Ramadan fasting. Diabetes Res Clin Pract. 2007;75(2):141–7.PubMedCrossRef
37.
Zurück zum Zitat Anwar A, Azmi KN, Hamidon B, Khalid B. An open label comparative study of glimepiride versus repaglinide in type 2 diabetes mellitus Muslim subjects during the month of Ramadan. Med J Malaysia. 2006;61(1):28–35.PubMed Anwar A, Azmi KN, Hamidon B, Khalid B. An open label comparative study of glimepiride versus repaglinide in type 2 diabetes mellitus Muslim subjects during the month of Ramadan. Med J Malaysia. 2006;61(1):28–35.PubMed
38.
Zurück zum Zitat Mafauzy M. Repaglinide versus glibenclamide treatment of Type 2 diabetes during Ramadan fasting. Diabetes Res Clin Pract. 2002;58(1):45–53.PubMedCrossRef Mafauzy M. Repaglinide versus glibenclamide treatment of Type 2 diabetes during Ramadan fasting. Diabetes Res Clin Pract. 2002;58(1):45–53.PubMedCrossRef
39.
Zurück zum Zitat Amori RE, Lau J, Pittas AG. Efficacy and safety of incretin therapy in type 2 diabetes: systematic review and meta-analysis. JAMA. 2007;298(2):194–206.PubMedCrossRef Amori RE, Lau J, Pittas AG. Efficacy and safety of incretin therapy in type 2 diabetes: systematic review and meta-analysis. JAMA. 2007;298(2):194–206.PubMedCrossRef
40.
Zurück zum Zitat Al Sifri S, Basiounny A, Echtay A, Al Omari M, Harman-Boehm I, Kaddaha G, et al. The incidence of hypoglycaemia in Muslim patients with type 2 diabetes treated with sitagliptin or a sulphonylurea during Ramadan: a randomised trial. Int J Clin Pract. 2011;65(11):1132–40.PubMedPubMedCentralCrossRef Al Sifri S, Basiounny A, Echtay A, Al Omari M, Harman-Boehm I, Kaddaha G, et al. The incidence of hypoglycaemia in Muslim patients with type 2 diabetes treated with sitagliptin or a sulphonylurea during Ramadan: a randomised trial. Int J Clin Pract. 2011;65(11):1132–40.PubMedPubMedCentralCrossRef
41.
Zurück zum Zitat Aravind S, Tayeb KA, Ismail SB, Shehadeh N, Kaddaha G, Liu R, et al. Hypoglycaemia in sulphonylurea-treated subjects with type 2 diabetes undergoing Ramadan fasting: a five-country observational study. Curr Med Res Opin. 2011;27(6):1237–42.PubMedCrossRef Aravind S, Tayeb KA, Ismail SB, Shehadeh N, Kaddaha G, Liu R, et al. Hypoglycaemia in sulphonylurea-treated subjects with type 2 diabetes undergoing Ramadan fasting: a five-country observational study. Curr Med Res Opin. 2011;27(6):1237–42.PubMedCrossRef
42.
Zurück zum Zitat Bajaj HS, Abouhassan T, Ahsan MR, Arnaout A, Hassanein M, Houlden RL, et al. Diabetes Canada position statement for people with types 1 and 2 diabetes who fast during Ramadan. Can J Diabetes. 2019;43(1):3–12.PubMedCrossRef Bajaj HS, Abouhassan T, Ahsan MR, Arnaout A, Hassanein M, Houlden RL, et al. Diabetes Canada position statement for people with types 1 and 2 diabetes who fast during Ramadan. Can J Diabetes. 2019;43(1):3–12.PubMedCrossRef
43.
44.
Zurück zum Zitat Akram J, De Verga V, Group TRS. Insulin lispro (Lys (B28), Pro (B29)) in the treatment of diabetes during the fasting month of Ramadan. Diabet Med. 1999;16(10):867–74.CrossRef Akram J, De Verga V, Group TRS. Insulin lispro (Lys (B28), Pro (B29)) in the treatment of diabetes during the fasting month of Ramadan. Diabet Med. 1999;16(10):867–74.CrossRef
45.
Zurück zum Zitat Hassanein M, Belhadj M, Abdallah K, Bhattacharya AD, Singh AK, Tayeb K, et al. Management of Type 2 diabetes in Ramadan: Low-ratio premix insulin working group practical advice. Indian journal of endocrinology and metabolism. 2014;18(6):794.PubMedPubMedCentralCrossRef Hassanein M, Belhadj M, Abdallah K, Bhattacharya AD, Singh AK, Tayeb K, et al. Management of Type 2 diabetes in Ramadan: Low-ratio premix insulin working group practical advice. Indian journal of endocrinology and metabolism. 2014;18(6):794.PubMedPubMedCentralCrossRef
46.
Zurück zum Zitat Salti I, Diabetes, Group RS. Efficacy and safety of insulin glargine and glimepiride in subjects with Type 2 diabetes before, during and after the period of fasting in Ramadan. Diabetic medicine. (2009);26(12):1255–61. Salti I, Diabetes, Group RS. Efficacy and safety of insulin glargine and glimepiride in subjects with Type 2 diabetes before, during and after the period of fasting in Ramadan. Diabetic medicine. (2009);26(12):1255–61.
47.
Zurück zum Zitat Hassanein M, Buyukbese MA, Malek R, Pilorget V, Naqvi M, Berthou B, et al. Real-world safety and effectiveness of insulin glargine 300 U/mL in participants with type 2 diabetes who fast during Ramadan: the observational ORION study. Diabetes Res Clin Pract. 2020;166:108189.PubMedCrossRef Hassanein M, Buyukbese MA, Malek R, Pilorget V, Naqvi M, Berthou B, et al. Real-world safety and effectiveness of insulin glargine 300 U/mL in participants with type 2 diabetes who fast during Ramadan: the observational ORION study. Diabetes Res Clin Pract. 2020;166:108189.PubMedCrossRef
48.
Zurück zum Zitat Bellido V, Suarez L, Rodriguez MG, Sanchez C, Dieguez M, Riestra M, et al. Comparison of basal-bolus and premixed insulin regimens in hospitalized patients with type 2 diabetes. Diabetes Care. 2015;38(12):2211–6.PubMedCrossRef Bellido V, Suarez L, Rodriguez MG, Sanchez C, Dieguez M, Riestra M, et al. Comparison of basal-bolus and premixed insulin regimens in hospitalized patients with type 2 diabetes. Diabetes Care. 2015;38(12):2211–6.PubMedCrossRef
49.
Zurück zum Zitat Firouzbakht M, Kiapour A, Jamali B, Kazeminavaei F, Taghlilin F, Gorji AMH. Fasting in pregnancy: A survey of beliefs and manners of Muslim women about Ramadan fasting. Annals of Tropical Medicine and Public Health. 2013;6(5):536.CrossRef Firouzbakht M, Kiapour A, Jamali B, Kazeminavaei F, Taghlilin F, Gorji AMH. Fasting in pregnancy: A survey of beliefs and manners of Muslim women about Ramadan fasting. Annals of Tropical Medicine and Public Health. 2013;6(5):536.CrossRef
50.
Zurück zum Zitat Robinson T, Raisler J. Each one is a doctor for herself": Ramadan fasting among pregnant Muslim women in the United States. Ethn Dis. 2005;15(1 Suppl 1):S1-99.PubMed Robinson T, Raisler J. Each one is a doctor for herself": Ramadan fasting among pregnant Muslim women in the United States. Ethn Dis. 2005;15(1 Suppl 1):S1-99.PubMed
51.
Zurück zum Zitat Dikensoy E, Balat O, Cebesoy B, Ozkur A, Cicek H, Can G. Effect of fasting during Ramadan on fetal development and maternal health. Journal of Obstetrics and Gynaecology Research. 2008;34(4):494–8.CrossRef Dikensoy E, Balat O, Cebesoy B, Ozkur A, Cicek H, Can G. Effect of fasting during Ramadan on fetal development and maternal health. Journal of Obstetrics and Gynaecology Research. 2008;34(4):494–8.CrossRef
52.
Zurück zum Zitat Dikensoy E, Balat O, Cebesoy B, Ozkur A, Cicek H, Can G. The effect of Ramadan fasting on maternal serum lipids, cortisol levels and fetal development. Arch Gynecol Obstet. 2009;279(2):119–23.PubMedCrossRef Dikensoy E, Balat O, Cebesoy B, Ozkur A, Cicek H, Can G. The effect of Ramadan fasting on maternal serum lipids, cortisol levels and fetal development. Arch Gynecol Obstet. 2009;279(2):119–23.PubMedCrossRef
53.
Zurück zum Zitat Alwasel S, Abotalib Z, Aljarallah J, Osmond C, Alkharaz S, Alhazza I, et al. Secular increase in placental weight in Saudi Arabia. Placenta. 2011;32(5):391–4.PubMedPubMedCentralCrossRef Alwasel S, Abotalib Z, Aljarallah J, Osmond C, Alkharaz S, Alhazza I, et al. Secular increase in placental weight in Saudi Arabia. Placenta. 2011;32(5):391–4.PubMedPubMedCentralCrossRef
54.
Zurück zum Zitat Afandi BO, Beshyah SA, Hassanein MM, Jabbar A, Khalil AB. The individualization of care for people with diabetes during Ramadan fasting: A narrative review. Ibnosina Journal of Medicine and Biomedical Sciences. 2020;12(2):98.CrossRef Afandi BO, Beshyah SA, Hassanein MM, Jabbar A, Khalil AB. The individualization of care for people with diabetes during Ramadan fasting: A narrative review. Ibnosina Journal of Medicine and Biomedical Sciences. 2020;12(2):98.CrossRef
55.
Zurück zum Zitat Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, et al. Diabetes in older adults. Diabetes Care. 2012;35(12):2650–64.PubMedCrossRef Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, et al. Diabetes in older adults. Diabetes Care. 2012;35(12):2650–64.PubMedCrossRef
56.
Zurück zum Zitat van Dijk PT, Meulenberg OG, Van de Sande HJ, Habbema JDF. Falls in dementia patients. Gerontologist. 1993;33(2):200–4.PubMedCrossRef van Dijk PT, Meulenberg OG, Van de Sande HJ, Habbema JDF. Falls in dementia patients. Gerontologist. 1993;33(2):200–4.PubMedCrossRef
57.
Zurück zum Zitat Irfannuddin I, Santoso B, Zein RH, Naufal AF, editors. The Effect of Aerobic Exercise and Caloric Restriction on Mice’s Brain Tissue PGC-1α Levels and Their Memory Abilities. Journal of Physics: Conference Series; (2019): IOP Publishing. Irfannuddin I, Santoso B, Zein RH, Naufal AF, editors. The Effect of Aerobic Exercise and Caloric Restriction on Mice’s Brain Tissue PGC-1α Levels and Their Memory Abilities. Journal of Physics: Conference Series; (2019): IOP Publishing.
58.
Zurück zum Zitat Laatar R, Borji R, Baccouch R, Zahaf F, Rebai H, Sahli S. Effects of Ramadan fasting on postural balance and attentional capacities in elderly people. J Nutr Health Aging. 2016;20(5):553–60.PubMedCrossRef Laatar R, Borji R, Baccouch R, Zahaf F, Rebai H, Sahli S. Effects of Ramadan fasting on postural balance and attentional capacities in elderly people. J Nutr Health Aging. 2016;20(5):553–60.PubMedCrossRef
60.
Zurück zum Zitat Sassi M, Chakroun T, Chouchène S, Hellara I, Boubaker H, Grissa MH, et al. Does Lipid Profile Affect Thrombin Generation During Ramadan Fasting in Patients With Cardiovascular Risks? Clin Appl Thromb Hemost. 2017;23(8):980–6.PubMedCrossRef Sassi M, Chakroun T, Chouchène S, Hellara I, Boubaker H, Grissa MH, et al. Does Lipid Profile Affect Thrombin Generation During Ramadan Fasting in Patients With Cardiovascular Risks? Clin Appl Thromb Hemost. 2017;23(8):980–6.PubMedCrossRef
61.
Zurück zum Zitat Group UKPDS. A 6-year, randomized, controlled trial comparing sulfonylurea, insulin, and metformin therapy in patients with newly diagnosed type 2 diabetes that could not be controlled with diet therapy (UKPDS 24). Ann Intern Med. (1998);128:165–75. Group UKPDS. A 6-year, randomized, controlled trial comparing sulfonylurea, insulin, and metformin therapy in patients with newly diagnosed type 2 diabetes that could not be controlled with diet therapy (UKPDS 24). Ann Intern Med. (1998);128:165–75.
62.
Zurück zum Zitat Hassanien AA, Al-Shaikh F, Vamos EP, Yadegarfar G, Majeed A. Epidemiology of end-stage renal disease in the countries of the Gulf Cooperation Council: a systematic review. JRSM short reports. 2012;3(6):1–21.CrossRef Hassanien AA, Al-Shaikh F, Vamos EP, Yadegarfar G, Majeed A. Epidemiology of end-stage renal disease in the countries of the Gulf Cooperation Council: a systematic review. JRSM short reports. 2012;3(6):1–21.CrossRef
63.
Zurück zum Zitat Levey AS, Coresh J, Balk E, Kausz AT, Levin A, Steffes MW, et al. National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann Intern Med. 2003;139(2):137–47.PubMedCrossRef Levey AS, Coresh J, Balk E, Kausz AT, Levin A, Steffes MW, et al. National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann Intern Med. 2003;139(2):137–47.PubMedCrossRef
64.
Zurück zum Zitat El-Wakil HS, Desoky I, Lotfy N, Adam AG. Fasting the month of Ramadan by Muslims: could it be injurious to their kidneys? Saudi Journal of Kidney Diseases and Transplantation. 2007;18(3):349.PubMed El-Wakil HS, Desoky I, Lotfy N, Adam AG. Fasting the month of Ramadan by Muslims: could it be injurious to their kidneys? Saudi Journal of Kidney Diseases and Transplantation. 2007;18(3):349.PubMed
65.
Zurück zum Zitat Mbarki H, Tazi N, Najdi A, Tachfouti N, Arrayhani M, Sqalli T. Effects of fasting during Ramadan on renal function of patients with chronic kidney disease. Saudi Journal of Kidney Diseases and Transplantation. 2015;26(2):320.PubMedCrossRef Mbarki H, Tazi N, Najdi A, Tachfouti N, Arrayhani M, Sqalli T. Effects of fasting during Ramadan on renal function of patients with chronic kidney disease. Saudi Journal of Kidney Diseases and Transplantation. 2015;26(2):320.PubMedCrossRef
66.
Zurück zum Zitat Bakhit AA, Kurdi AM, Wadera JJ, Alsuwaida AO. Effects of Ramadan fasting on moderate to severe chronic kidney disease: a prospective observational study. Saudi Med J. 2017;38(1):48.PubMedPubMedCentralCrossRef Bakhit AA, Kurdi AM, Wadera JJ, Alsuwaida AO. Effects of Ramadan fasting on moderate to severe chronic kidney disease: a prospective observational study. Saudi Med J. 2017;38(1):48.PubMedPubMedCentralCrossRef
67.
Zurück zum Zitat NasrAllah MM, Osman NA. Fasting during the month of Ramadan among patients with chronic kidney disease: renal and cardiovascular outcomes. Clin Kidney J. 2014;7(4):348–53.PubMedCrossRef NasrAllah MM, Osman NA. Fasting during the month of Ramadan among patients with chronic kidney disease: renal and cardiovascular outcomes. Clin Kidney J. 2014;7(4):348–53.PubMedCrossRef
68.
Zurück zum Zitat Bragazzi NL. Ramadan fasting and chronic kidney disease: does estimated glomerular filtration rate change after and before Ramadan? Insights from a mini meta-analysis. Int J Nephrol Renov Dis. 2015;8:53.CrossRef Bragazzi NL. Ramadan fasting and chronic kidney disease: does estimated glomerular filtration rate change after and before Ramadan? Insights from a mini meta-analysis. Int J Nephrol Renov Dis. 2015;8:53.CrossRef
69.
Zurück zum Zitat Bernieh B, Al Hakim MR, Boobes Y, Zidan FMA. Fasting Ramadan in chronic kidney disease patients: clinical and biochemical effects. Saudi Journal of Kidney Diseases and Transplantation. 2010;21(5):898.PubMed Bernieh B, Al Hakim MR, Boobes Y, Zidan FMA. Fasting Ramadan in chronic kidney disease patients: clinical and biochemical effects. Saudi Journal of Kidney Diseases and Transplantation. 2010;21(5):898.PubMed
Metadaten
Titel
Ramadan fasting and diabetes, latest evidence and technological advancements: 2021 update
verfasst von
Ali Tootee
Bagher Larijan
Publikationsdatum
02.05.2021
Verlag
Springer International Publishing
Erschienen in
Journal of Diabetes & Metabolic Disorders / Ausgabe 1/2021
Elektronische ISSN: 2251-6581
DOI
https://doi.org/10.1007/s40200-021-00806-2

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