Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism

Inass Shaltout; Shaymaa Abdelmaboud; Laila Hammouda; Amr Gad; Nehal Elsaid; Nasser Taha; Atef Elbahry; Shereen Abdelghaffar; Hany Hammad; Amr El Meligi; Amr Abdelwahab; Amin Soliman

doi:10.2174/0115733998249793231005105724

Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism

Authors: Shaltout I.¹, Abdelmaboud S.², Hammouda L.³, Gad A.⁴, Elsaid N.¹^,5, Taha N.⁶, Elbahry A.⁷, Abdelghaffar S.⁸, Hammad H.⁹, El Meligi A.¹, Abdelwahab A.¹⁰, Soliman A.⁹
Affiliations:
1. Internal Medicine and Diabetes Department, Cairo University, Cairo, Egypt
2. Cardiology Department, National Heart Institute, Giza, Egypt
3. Ophthalmology Department, Minia University, Minia, Egypt
4. Vascular Surgery Department, Cairo University, Cairo, Egypt
5. Arabic Association for the Study of Diabetes and Metabolism (AASD)
6. Cardiology Department, Minia University, Minia, Egypt
7. Cardiology Unit, Port Fouad Centre, Port Fouad, Egypt
8. Department of Pediatrics, Pediatric Diabetes and Endocrinology Unit, Cairo University, Cairo, Egypt
9. Internal Medicine and Nephrology Department, Cairo University, Cairo, Egypt
10. Internal Medicine and Diabetes Department, Minia University, Minia, Egypt
Issue: Vol 20, No 7 (2024)
Section: Medicine
URL: https://vestnik.nvsu.ru/1573-3998/article/view/643015
DOI: https://doi.org/10.2174/0115733998249793231005105724
ID: 643015

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Abstract

Background:Current international guidelines recommend a pre-Ramadan risk assessment for people with diabetes (PwDM) who plan on fasting during the Holy month. However, a comprehensive risk assessment-based recommendation for the management of PwDM intending to fast is still controversial. Therefore, the Arabic Association for the Study of Diabetes and Metabolism (AASD) developed this consensus to provide further insights into risk stratification in PwDM intending to fast during Ramadan.

Methods:The present consensus was based on the three-step modified Delphi method. The modified Delphi method is based on a series of voting rounds and in-between meetings of the expert panel to reach agreements on the statements that did not reach the consensus level during voting. The panel group comprised professors and consultants in endocrinology (both adult and pediatric). Other members included experts in the fields of cardiovascular medicine, nephrology, ophthalmology, and vascular surgery, affiliated with academic institutions in Egypt.

Result:In PwDM who intend to fast during Ramadan, risk stratification is crucial to optimize patient outcomes and prevent serious complications. The present consensus provides risk assessment of those living with diabetes according to several factors, including the type of diabetes, presence, and severity of complications, number of fasting hours, and other socioeconomic factors. According to their risk factors, patients were classified into four categories (very high, high, moderate, and low risk).

Conclusion:Future research is warranted due to the controversial literature regarding the impact of fasting on certain comorbidities.

Keywords

Diabetes, type 2 diabetes, type 1 diabetes, fasting, ramadan, risk stratification.

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Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism

Full Text

Abstract

Keywords

About the authors

Supplementary files