Factors Associated with Successful Fasting among Type 2 Diabetic Mellitus Patients during Ramadan: A Retrospective Recall Study
- Author:
LEOW SN
;
TONG SF
- Publication Type:Journal Article
- Keywords:
diabetes;
fasting;
knowledge
- From:Medicine and Health
2019;14(2):97-108
- CountryMalaysia
- Language:English
-
Abstract:
Among diabetic patients, fasting is associated with increased risk of ketoacidosis,
hypoglycaemia and dehydration. Previous randomised controlled trials and
prospective studies have shown that intensive pre-Ramadan education on
fasting is able to help patients fast successfully during Ramadan. At the same
time, observational studies show that many diabetic patients are still able to
fast successfully throughout Ramadan despite deficiencies in knowledge about
fasting practices. We conducted a retrospective recall study in Klinik Kesihatan
Jalan Perak, Penang to determine the factors associated with successful fasting.
Patients were selected using convenience sampling. Successful fasting was
defined as a patient fasted as intended, and not having to break-fast due to hypo/
hyperglycaemia symptoms or hospitalization due to diabetic complications.
Multiple logistic regression was used to determine independent factors associated
with successful fasting. 113 patients were enrolled. 70.9% (n=80) of patients were
able to fast successfully. Knowing the name of their diabetic medications were
significantly associated with successful fasting (AOR=8.56, 95%CI: 2.04;35.8,
p=0.003). Knowledge and fasting practices were not associated with successful
fasting. We may identify patients who might not fast successfully by evaluating their
understanding of their diabetic medications. They can then be targeted for further
pre-Ramadan counselling. Nonetheless, an intensive pre-Ramadan counselling is
still optimal if resources are available.
- Full text:22.2020my0010.pdf
