Effect Of Fasting On Ramad Effect On Type II Diabetic Patients

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Fasting on Ramadan: effect on glycemic control on type II diabetic patients, observational study for three month at SQUH, Oman
Amina, S, Al-Hussaini
College of Nursing, SQU

Fasting on Ramadan: effect on glycemic control on type II diabetic patients, observational study for three month at SQUH, Oman
Introduction
Type 2 DM is worldwide health problem affecting 2.8% of population globally in 2000 and expected to be 4.4% in 2030 (Patel, Mirakhur, El-Magd, El-Matty, & Al-Ghafri, 2007). DM affected by many factors such as demographical features (age, race, hereditary & BMI) and lifestyle behaviors (diet, exercise) (Karatoprak et al., 2013; Patel, Mirakhur, El-Magd, El-Matty, & Al-Ghafri, 2007). For that the numbers of people affected differ from one country to another. According to the International Diabetes Federation (2006), Oman is among the top ten countries in the prevalence of diabetes. It is increasing significantly in Oman as it was 11.6 % in 2000 (Ministry of Health, 2003) and it is expected to reach 14.7%in 2025 (International Diabetes Federation, 2006).
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One of these studies is about effect of Ramadan fasting on glycemic control in patients with type 2 diabetes. It was a prospective cohort clinical trial study conducted for 88 patients with type II diabetes who fast at least 10 days during Ramadan 2008, to investigate the association between Ramadan fasting & glycemic control. It showed a negative effect of fasting on HbA1C and fasting blood glucose as both values increased with fasting. This increase could be due to lifestyle changes during Ramadan such as large amount of food consumed in short period of time. Deteriorated glucose control was observed more in patients on oral hypoglycemic drug. But there was a significant improvement in lipid profile resulted from Ramadan fasting (Norouzy et al.,

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