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Diabetes in Ramadan
Meta-analysis of 92 studies on fasting Ramadan
in Diabetic patients
Abbas Orabi
The patients of 92 studies
have been enrolled in the
ongoing meta-analysis.
Patient criteria:
Group I:
Patients
controlling
their
diabetes by diet and exercise.
Group 2:
Patients
controlling
their
diabetes with tablets (OHA).
Group 3:
Patients
controlling
their
diabetes with insulin (OHA).
Studies search:
Studies included were derived from
medline using the key words:
Ramadan, fasting and diabetes
Inclusion criteria:
Reports of data from original studies
including data from the control period
before or after Ramadan and data from
the period of Ramadan.
Exclusion criteria:
- Reports before and after Ramadan only.
- Review articles.
- Case studies.
- Letter to editors.
The main points of the study:
1) Hypoglycemic episodes:
Severity & frequency.
2) The glucose excursions.
3) PostIftar hyperglycemia.
4) The frequency of cardiac events:
Angina, Arrhythmias & Myocardial infarction.
The efficacy and safety of different drugs
enrolled in the study:
- Metformin
- TZDs
- SUs
- Incretin-based therapeies
- Insulin
The questions expected to be answered:
1) Profile of patients who fast safely.
2) Which drugs are safer?
3) Is there a need to change the regimen or
to switch the drug?
4) The cardiac events in diabetic patients
who fast.
Wait the results in
The 3rd ADF
5/7/9 2012