Fasting Diabetes and Optimizing Health Outcomes for Ramadan Observers a Literature Review

Review

doi: 10.1007/s13300-017-0233-z. Epub 2017 Feb viii.

Fasting, Diabetes, and Optimizing Health Outcomes for Ramadan Observers: A Literature Review

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• PMID: 28181087
• PMCID: PMC5380495
• DOI: 10.1007/s13300-017-0233-z

Free PMC article

Review

Fasting, Diabetes, and Optimizing Health Outcomes for Ramadan Observers: A Literature Review

Hadi A Almansour  et al. Diabetes Ther. 2017 April .

Free PMC article

Abstract

Introduction: Globally, and in Australia, diabetes has get a common chronic health condition. Diabetes is also quite prevalent in culturally and linguistically diverse pockets of the Australian population, including Muslims. There are over 90 one thousand thousand Muslims with diabetes worldwide. Diabetes direction and medication use tin exist affected past religious practices such as fasting during Ramadan. During Ramadan, Muslims refrain from oral or intravenous substances from sunrise to sunset. This may lead to many potential health or medication-related risks for patients with diabetes who detect this religious do. This literature review aimed to explore (1) health care-related interventions and (ii) intentions, perspectives, or needs of health care professionals (HCPs) to provide clinical services to patients with diabetes while fasting during Ramadan with a view to improve health outcomes for those patients.

Methods: Using a scoping review approach, a comprehensive search was conducted. Databases searched systematically included PubMed, Medline, Embase, and International Pharmaceutical Abstracts. Studies published in English that described interventions or intentions to provide interventions regarding diabetes and Ramadan fasting were included.

Results: Fourteen published articles that met the inclusion criteria were retrieved and content analyzed. Of those, nine intervention studies regarded diabetes management education. Five studies described professional service intention, four of which were related to the role of pharmacists in diabetes management in Qatar, Australia, and Arab republic of egypt, and one French study examined the general practitioners' (GPs) experiences in diabetes direction for Ramadan observers. The intervention studies had promising outcomes for diabetes management during Ramadan. Effect sizes for comeback in HbA1c postal service intervention ranged widely from -one.fourteen to 1.7. Pharmacists appeared to be willing to participate in programs to help fasting patients with diabetes achieve a rubber therapeutic outcome. Service intention studies highlighted pharmacists' and GPs' demand for training prior to providing services from a clinical equally well as cultural competence perspective.

Conclusion: Interventions research in this area requires robustly designed and structured interventions that tin exist tested in dissimilar contexts. This literature review revealed many gaps regarding diabetes direction in Ramadan. Health professionals are willing to provide services for fasting diabetes patients, but need upskilling.

Keywords: Fasting; HbA1c; Hypoglycemia; Chemist; Ramadan; Type 1 diabetes; Type 2 diabetes.

Figures

Fig. i

Menses chart of the search strategy

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Source: https://pubmed.ncbi.nlm.nih.gov/28181087/

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