Fasting Ramadan in patients with T1DM - Saudi Arabia versus other countries during the COVID-19 pandemic

Alamoudi RM 1 , Aljohani NJ 2 , Alfadhli EM 3 , Alzaman N 3 , Alfadhly AF 4 , Kallash MA 5 Show all authors , Alshenqete AM 6 , Batais MA 7 , Alharbi M 8 , Ekhzaimy AA 9 , Sheshah E 10 , Ahmedani MY 11 , Buyukbese MA 12 , Shaltout I 13 , Hemaida K 14 , Belkhadir J 15 , Afandi B 16 , Hafidh K 17 , Hussein Z 18 , Elbarbary NS 19 , Hassanein M 20

Affiliations 

  • 1 Department of Medicine, King Abdulaziz Medical City, King Abdullah International Research Centre, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guards Health Affairs, Jeddah, Saudi Arabia. Electronic address: amoudir@mngha.med.sa
  • 2 Obesity, Endocrine and Metabolic Center, King Fahad Medical City, King Abdulaziz Bin Saud University for Health Sciences, Riyadh, Saudi Arabia
  • 3 Department of Medicine, Medical College, Taibah University, AlMadinah, Saudi Arabia
  • 4 Department of Family Medicine, Prince Mansour Military Hospital, Taif City, Saudi Arabia
  • 5 Obesity, Endocrine and Metabolic Center, King Fahad Medical City, Riyadh, Saudi Arabia
  • 6 Nutrition Department, King Fahd Hospital, AlMadina, Saudi Arabia
  • 7 Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
  • 8 Diabetes Centre, AlMadinah, Saudi Arabia
  • 9 Department of Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
  • 10 Diabetes Care Center, King Salman Bin Abdulaziz Hospital, Riyadh, Saudi Arabia
  • 11 Department of Medicine, Baqai Institute of Diabetology & Endocrinology, Baqai Medical University, Karachi, Pakistan
  • 12 Department of Internal Medicine, Medistate Kavacik Hospital, Istanbul, Turkey
  • 13 Department of Internal Medicine and Diabetes, Faculty of Medicine, Cairo University, Cairo, Egypt
  • 14 Glan Clwyd Hospital, Renal and Diabetes, Rhyl, Denbighshire, UK; Alexandria University, Faculty of Medicine, Medical Department, Alexandria, Egypt
  • 15 Moroccan League for the Fight Against Diabetes, IDF Middle East and North Africa, Morocco
  • 16 Tawam Hospital, SEHA, Al Ain, United Arab Emirates
  • 17 Diabetes Unit, Rashid Hospital, Dubai Health Authority, Dubai Academic Health Cooperation, United Arab Emirates
  • 18 Department of Internal Medicine, Hospital Putrajaya, Putrajaya, Malaysia
  • 19 Department of Pediatrics, Ain Shams University, Cairo, Egypt
  • 20 Department of Endocrinology and Diabetes, Dubai Hospital, Dubai Academic Health Cooperation, United Arab Emirates
Diabetes Metab Syndr, 2023 Jan;17(1):102676.
PMID: 36463695 DOI: 10.1016/j.dsx.2022.102676

Abstract

BACKGROUND AND AIMS: To compare Saudi Arabia with other countries regarding patient attitudes towards fasting Ramadan and complications related to fasting during the COVID-19 pandemic.

METHODS: Data collected from Saudi Arabia and 12 other mostly Muslim majority countries, via physician administered questionnaire within post Ramadan 2020.

RESULTS: 1485 Type1 diabetes (T1DM) patients analyzed; 705 (47.5%) from Saudi Arabia vs. 780 (52.5%) from other countries. 1056 (71.1%) fasted Ramadan; 636 (90.2%) of Saudi patients vs. 420 (53.8%) of other countries. Experiencing Ramadan during the COVID-19 pandemic did not affect the Saudi T1DM patients' decision to fast while it significantly influenced their decision in other countries (1.4 vs 9.9%, P 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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