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A Prospective Cohort Study on the Effect of Various Risk Factors on Hypoglycaemia in Diabetics Who Fast During Ramadan

Loke, S.C., and Rahim K.F., and Kanesvaran, R., and Wong, T.W., (2010) A Prospective Cohort Study on the Effect of Various Risk Factors on Hypoglycaemia in Diabetics Who Fast During Ramadan. Medical Journal of Malaysia, 65 (1). pp. 3-6. ISSN 0300-5283

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Official URL: http://www.e-mjm.org/2010/v65n1/Hypoglycaemia_in_Diabetics.pdf

Affiliations

Universiti Putra Malaysia, Faculty of Medicine and Health Sciences,
Universiti Putra Malaysia, Faculty of Medicine and Health Sciences,
Universiti Putra Malaysia, Faculty of Medicine and Health Sciences,
Universiti Putra Malaysia, Faculty of Medicine and Health Sciences,

Abstract

Muslim diabetics who fast during Ramadan are at risk of hypoglycaemia, and previous consensus guidelines have highlighted certain risk factors. This prospective cohort study aims to determine the relative risk (RR) of hypoglycaemia during Ramadan fasting compared with a non-fasting period of equivalent length, and to ascertain which risk factors are clinically significant. From the results, Ramadan fasting carries a RR of hypoglycaemia of 1.60 (95% CI 1.05 to 2.43). Good metabolic control (HbA1c < 8%) and old age (> 60 years) increased RR more than twice, while taking breakfast prior to fasting reduces RR to less than half.

Item Type:Journal
Keywords:Cohort Studies, Fasting, Hypoglycemia, Islam, Risk Assessment, Type 2 Diabetes Mellitus
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:11314

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