Displaying publications 21 - 40 of 66 in total

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  1. Nasser Shahsavari, Hasnah Mohd. Jais, Amir Hossein Shirani Rad
    Sains Malaysiana, 2014;43:1549-1555.
    The effects of zeolite and zinc foliar applications on the biochemical characteristics of canola cultivars under different moisture regimes were investigated in a study conducted during the 2010 and 2011 growing seasons. The study was completed using a factorial split-plot experiment based on randomized complete block design (RCBD) with three replications at the Seed and Plant Improvement Institute (SPII), Karaj, Iran. The treatments were: irrigation (I): complete (I1) and restricted (I2); zeolite (Z): 0 (Z1) and 15 ton ha-1 (Z2) and Zn: 0, 0.1 and 0.2% concentrations of zinc sulfate (Zn1, Zn2, and Zn3) at the pod formation stage. These treatments were applied during the pod formation stage to the Licord, RGS003 and Opera cultivars. This study showed that although applying Z and Zn had positive effects on the quality of canola, the highest performance and the best results were obtained using a combination of Z and Zn. The combined application of Z and Zn decreased the proline and carbohydrate contents to 44.35 and 34.42%, respectively. Therefore, with the low cost of natural Z and moderate Zn intake, these treatments can be used to enhance the performance of canola, especially in regions frequently subjected to water stress.
    Matched MeSH terms: Dehydration
  2. Ahmed Asrity S, Tsan FY, Ding P, Syed Aris S
    Sains Malaysiana, 2014;43:1471-1475.
    Phaleria macrocarpa seeds are rapidly killed with desiccation to moisture content (MC) below 20%. Desiccation tolerance of their embryonic axes was studied for storage and germplasm conservation purposes. Embryonic axes were extracted aseptically from fresh seeds obtained from fully ripe fruits in a horizontal laminar air flow cabinet. They were then desiccated under aseptic condition for periods ranging from 0-8 h. For each desiccation treatment, embryonic axes were drawn randomly for the determination of MC according to ISTA, electrolyte leakage and proliferation on Murashige and Skoog (MS) media supplemented with 1 mg/l 6-benzylaminopurine (BAP) and 1 mg/l 2,4-dichlorophenoxyacetic acid (2,4-D). The results obtained from this study indicated that the embryonic axes could tolerate dehydration down to 13.6% with desiccation for 8 h while retaining relatively high viability of 76.7%. This was supported by only gradual increment of electrolyte leakage with the desiccated embryonic axes. All non-desiccated embryonic axes with MC of 52.5% were capable to grow into normal plantlets in vitro but dehydration to MC of 36.0% and further down to 13.6% generally resulted in callus formation with up to 16.7% of the embryonic axes while at least 60.0% of the other embryonic axes were still capable to proliferate as normal plantlets in vitro.
    Matched MeSH terms: Dehydration
  3. Azimah Ahmad, Normah Jusoh, Ruaibah Yazani Tengah
    MyJurnal
    The purpose of rehydration is to replace fluid and electrolyte losses. Carbohydrates and sodium are the main nutrient sources for rehydration. The presence of protein aids the rehydration process and thereby promoting muscle synthesis. Zea mays had been identified as one of the potential food sources that could be an alternative recovery beverage. The aim of this study was to assess the potential of Zea mays (ZM) juice as an alternative rehydration beverage. A total of 15 male participants were involved in this study. They were required to cycle to 70-80% of their age predicted maximum heart rate until they were dehydrated (1.8-2% body weight loss). Then they were given either ZM juice or CE drink in an amount representing 150% of their initial body weight loss. After 4-hours of rest with no other food allowed, their USG and percentage of fluid retention were calculated. Results showed that ZM juice had better retention and demonstrated well hydrated USG readings compared to CE drink. Therefore, ZM juice has the potential to be an alternative rehydration beverage.
    Matched MeSH terms: Dehydration
  4. Rizwan Maqbool, Waqar Ali, Muhammad Ather Nadeem, Tasawer Abbas
    Sains Malaysiana, 2018;47:51-58.
    Boron is considered important to improve the drought resistance, yield and protein contents of pulses. Two years of field experiment was conducted to evaluate the effect of boron application and water stress given at vegetative and flowering stages on growth, yield and protein contents of mungbean during spring 2014 and 2015. The experiment was laid out in randomized complete block design with split-plot arrangement giving more emphasis to boron. The experiment comprised three water stress levels (normal irrigation, water stress at vegetative stage and water stress at reproductive phase) and four boron levels (0, 2, 4 and 6 kg ha-1). Final seed yield was significantly increased by different levels of boron application both under normal and water stressed conditions. The increase in yield was mainly due to greater plant height, number of pods bearing branches, number of pods per plant, number of seeds per pod and 1000-grain weight. Boron application at 4 kg ha-1 caused 17%, 10% and 4% increase in grain yield under normal irrigation, stress at vegetative stage and water stress at reproductive phase, respectively. Protein contents were also increased (9-16%) at same boron treatment. Most parameters showed a marked decrease at higher dose (6 kg ha-1) of boron. In conclusion, the boron application at rate of 4 kg ha-1 in clay-loam soil performed the best to enhance mungbean growth, yield and seed protein both under normal and water stressed conditions.
    Matched MeSH terms: Dehydration
  5. Shehzad MA, Maqsood M, Abbas T, Ahmad N
    Sains Malaysiana, 2016;45:1497-1507.
    Boron (B) is a mineral considered essential for improving sunflower (Helianthus annuus L.) resistance to drought. B supplements (0, 15-, 30- and 45 mg L-1) under well-watered and variable water deficit levels (64 and 53 mm irrigation depths) were evaluated for their effects on growth, oil quality and water use efficiency (WUE) in a field study for two consecutive years (i.e. 2011 and 2012). The duration of 50% inflorescence emergence, 50% flowering and 50% maturity stages were reduced with increasing moisture stress. All B application rates improved sunflower growth compared to no B control treatment. The moisture deficit treatments of 64 and 53 mm irrigation depths significantly (p<0.05) reduced the yield-related components. Achenes/head, achenes weight and achene yield under water stress conditions were considerably improved by foliar application of B at 30 mg L-1. An increase in protein contents and a decrease in oil contents were observed with B foliar application under moisture deficit treatments. Foliar application of B (30 mg L-1) on water stressed plants also resulted in increased WUE. The highest net benefits were achieved with B concentration of 30 mg L-1 under well-watered and mild deficit water level of 64 mm irrigation depth. The highest application rate of B (45 mg L-1) gave the best results at the most severe water deficit level. In conclusion, the B rates of 30 and 41 mg L-1 performed best for improving drought tolerance in terms of higher sunflower productivity under mild and higher water deficit conditions
    Matched MeSH terms: Dehydration
  6. Nur-Zhafarina A., Asyraf M.
    Sains Malaysiana, 2017;46:1241-1248.
    The main focus of this study was to examine the morphology of Mimosa pigra, an invasive weed in response to artificial biotic and abiotic stressors. Seedlings of M. pigra were subjected to stressors such as seed sowing density, leaf defoliation and water regime. Comparatively, morphological performance related to different sowing practices differed significantly (p<0.05), as seedlings that grew from high density populations had lean and outstanding apical growth. A comparison between the four different levels of defoliation on the morphological changes revealed that the increase in leaf defoliation significantly decreased the plant morphological traits (i.e. height, stem diameter and flower bud productivity) and biomass allocation. Relatively low growth performance was found in plants subjected to 100% defoliation, with markedly lower flower bud productivity in comparison with 0%, 25% and 50% (no flower buds compared to 27, 13 and 6 flower buds, respectively). For water stress treatment, M. pigra showed no significant difference (p>0.05) in morphological performance under different levels of water regime. However, seedlings that received low water (LW) treatment showed better growth performance than seedlings that received high water (HW) treatment, which had the lowest morphological traits and biomass allocation.
    Matched MeSH terms: Dehydration
  7. Jiading Wang, Tianfeng Gu, Jianbin Wang, Yuanjun Xu, Peng Chen, Muhammad Aqeel Ashraf
    Sains Malaysiana, 2017;46:2049-2059.
    The development degree of fissure water in underground rock is a great trouble to the construction of railway tunnel, which will cause a series of environmental geological problems. Take the surrounding rock-section of the typical red clay in Lvliang-Mt. railway tunnel below the underground water level as an example, several aspects about the red clay surrounding rock will be researched, including pore water pressure, volume moisture content, stress of surrounding rock, vault subsidence and horizontal convergence through the field monitoring. Taking into account the importance of railway tunnel engineering, the large shear test of red clay was carried out at the construction site specially and the reliable situ shear strength parameters of surrounding rock will be obtained. These investigations and field tests helped to do a series of work: Three dimensional finite element numerical model of railway tunnel will be established, the deformation law of the red clay surrounding rock will be investigated, respectively, for the water-stress coupling effect and without considering it, the variation of the pore water pressure during excavation, the influence degree about the displacement field and stress field of water-stress coupling on red clay-rock will be discussed and the mechanism of the surrounding rock deformation will be submitted. Finally, the paper puts forward the feasible drainage scheme of the surrounding rock and the tunnel cathode. The geological environment safety of tunnel construction is effectively protected.
    Matched MeSH terms: Dehydration
  8. Dasan YK, Lam MK, Yusup S, Lim JW, Lee KT
    Sci Total Environ, 2019 Oct 20;688:112-128.
    PMID: 31229809 DOI: 10.1016/j.scitotenv.2019.06.181
    The rapid depletion of fossil fuels and ever-increasing environmental pollution have forced humankind to look for a renewable energy source. Microalgae, a renewable biomass source, has been proposed as a promising feedstock to generate biofuels due to their fast growth rate with high lipid content. However, literatures have indicated that sustainable production of microalgae biofuels are only viable with a highly optimized production system. In the present study, a cradle-to-gate approach was used to provide expedient insights on the effect of different cultivation systems and biomass productivity toward life cycle energy (LCEA), carbon balance (LCCO2) and economic (LCC) of microalgae biodiesel production pathways. In addition, a co-production of bioethanol from microalgae residue was proposed in order to improve the economic sustainability of the overall system. The results attained in the present work indicated that traditional microalgae biofuels processing pathways resulted to several shortcomings, such as dehydration and lipid extraction of microalgae biomass required high energy input and contributed nearly 21 to 30% and 39 to 57% of the total energy requirement, respectively. Besides, the microalgae biofuels production system also required a high capital investment, which accounted for 47 to 86% of total production costs that subsequently resulted to poor techno-economic performances. Moreover, current analysis of environmental aspects of microalgae biorefinery had revealed negative CO2 balance in producing microalgae biofuels.
    Matched MeSH terms: Dehydration
  9. Chiu MT, Tham HJ, Lee JS
    J Food Sci Technol, 2017 Sep;54(10):3327-3337.
    PMID: 28974818 DOI: 10.1007/s13197-017-2785-3
    This study was designed to determine the effect of osmotic dehydration (OD) process temperature (35-55 °C), sucrose concentration (40-60% w/w) and immersion time (90-210 min) on the water loss (WL), solid gain (SG), DPPH radical scavenging activity, ferric reducing antioxidant power (FRAP) and sensory quality of the dehydrated Terung Asam slices. Response Surface Methodology with Central Composite Design was applied to investigate the influence of these variables on the aforementioned responses. The increase in the levels of these processing parameters increased the WL and SG. The antioxidant activities also increased with sugar concentration, but reduced with immersion time and temperature elevation. About 36-80% of IC50 and 47-72% of FRAP were depleted after osmotic process. The loss of antioxidants was predominantly due to leaching during osmotic treatment rather than hot air drying. Despite the losses of these compounds, osmotic pretreatment was able to improve the sensory quality of the product. The optimum OD process condition was predicted as process temperature 38.1 °C, sucrose concentration 55.6% and osmotic duration 126.3 min.
    Matched MeSH terms: Dehydration
  10. Oettli P, Behera SK, Yamagata T
    Sci Rep, 2018 02 02;8(1):2271.
    PMID: 29396527 DOI: 10.1038/s41598-018-20298-0
    The influence of local conditions and remote climate modes on the interannual variability of oil palm fresh fruit bunches (FFB) total yields in Malaysia and two major regions (Peninsular Malaysia and Sabah/Sarawak) is explored. On a country scale, the state of sea-surface temperatures (SST) in the tropical Pacific Ocean during the previous boreal winter is found to influence the regional climate. When El Niño occurs in the Pacific Ocean, rainfall in Malaysia reduces but air temperature increases, generating a high level of water stress for palm trees. As a result, the yearly production of FFB becomes lower than that of a normal year since the water stress during the boreal spring has an important impact on the total annual yields of FFB. Conversely, La Niña sets favorable conditions for palm trees to produce more FFB by reducing chances of water stress risk. The region of the Leeuwin current also seems to play a secondary role through the Ningaloo Niño/ Niña in the interannual variability of FFB yields. Based on these findings, a linear model is constructed and its ability to reproduce the interannual signal is assessed. This model has shown some skills in predicting the total FFB yield.
    Matched MeSH terms: Dehydration
  11. Rahman N, Xin TB, Kamilah H, Ariffin F
    J Food Sci Technol, 2018 Jan;55(1):183-189.
    PMID: 29358809 DOI: 10.1007/s13197-017-2883-2
    The effects of osmotic dehydration (OD) treatment on volatile compound (myristicin) content and the antioxidant capacity of nutmeg (Myristica fragrans) were studied. Fresh nutmeg pericarps were treated with varying sugar concentrations (60, 70, 80%) with different soaking periods at ambient temperature. The OD-treated nutmeg extracts were analyzed for myristicin content via Gas Chromatography Flame Ionization Detector. The phenolic content and antioxidant capacity were analyzed using Follin-Ciocalteu and a free radical scavenging activity assay. The myristicin content was highest (1.69 mg/100 mg) at 80% sugar concentration after 3 h of soaking. Total phenolic content and free radical scavenging activity were highest at 3 h of 80% sugar solution treatment with values of 76.90% and 1.75 mg GAE/g, respectively. OD treatment at varying sugar concentration levels and durations affects the production of myristicin and antioxidant composition. Treatment of nutmeg with OD at 80% sugar concentration for 3 h is preferable, resulting in an acceptable level of myristicin and high antioxidants.
    Matched MeSH terms: Dehydration
  12. Gundamaraju R, Vemuri R
    Euroasian J Hepatogastroenterol, 2014 Jan-Jun;4(1):51-54.
    PMID: 29264319 DOI: 10.5005/jp-journals-10018-1096
    Greedy colon which is a synonym of constipation is a serious condition in the human body which may lead to complications, like damage of the rectal tissue, cellular dehydration and colorectal cancer. Diabetes mellitus, although a systemic disease with diverse clinical symptoms, is also related with cellular dehydration. Understanding the pathophysiological aspects of diabetes mellitus and greedy colon may shed light in the management of either of these conditions. The main purpose of this article is to demonstrate an association of tissue dehydration during diabetes mellitus and constipation. The adverse side effects of atropine will be discussed due to its M3 blockage effect and reduction in peristalsis keeping in mind the importance of these facts in the context of public health importance, especially in geriatric health. How to cite this article: Gundamaraju R, Vemuri R. Pathophysiology of Greedy Colon and Diabetes: Role of Atropine in worsening of Diabetes. Euroasian J Hepato-Gastroenterol 2014;4(1):51-54.
    Matched MeSH terms: Dehydration
  13. Zain NA, Ismail MR, Mahmood M, Puteh A, Ibrahim MH
    Molecules, 2014;19(2):1795-819.
    PMID: 24504074 DOI: 10.3390/molecules19021795
    The use of periodical water stress and potassium fertilization may enhance rice tolerance to drought stress and improve the crop's instantaneous water use efficiency without much yield reduction. This study was conducted to assess the effects of different periodical water stress combined with potassium fertilization regimes on growth, yield, leaf gas exchanges and biochemical changes in rice grown in pots and compare them with standard local rice grower practices. Five treatments including (1) standard local grower's practice (control, 80CF = 80 kg K2O/ha + control flooding); (2) 120PW15 = 120 kg K2O/ha + periodical water stress for 15 days; (3) 120DS15V = 120 kg K2O/ha + drought stress for 15 days during the vegetative stage; (4) 120DS25V = 120 kg K2O/ha + drought stress for 25 days and (5) 120DS15R = 120 kg K2O/ha + drought stress for 15 days during the reproductive stage, were evaluated in this experiment. Control and 120PW15 treatments were stopped at 100 DAS, and continuously saturated conditions were applied until harvest. It was found that rice under 120PW15 treatment showed tolerance to drought stress evidenced by increased water use efficiency, peroxidase (POX), catalase (CAT) and proline levels, maximum efficiency of photosystem II (fv/fm) and lower minimal fluorescence (fo), compared to other treatments. Path coefficient analysis revealed that most of parameters contribute directly rather than indirectly to rice yield. In this experiment, there were four factors that are directly involved with rice yield: grain soluble sugar, photosynthesis, water use efficiency and total chlorophyll content. The residual factors affecting rice yield are observed to be quite low in the experiment (0.350), confirming that rice yield was mostly influenced by the parameters measured during the study.
    Matched MeSH terms: Dehydration/metabolism
  14. Dabinett JA, Reid K, James N
    Int J Sport Nutr Exerc Metab, 2001 Sep;11(3):334-48.
    PMID: 11591883
    The purpose of the present study was to develop a hydration strategy for use by female English field hockey players at the 1998 Commonwealth Games in Malaysia. An additional aim was to initiate the process of acclimation. Fifteen elite players, mean age (+/-SEM) 24.1 +/- 1.19 years, height 1.67 +/- 0.01 m, and body mass 62.8 +/- 1.76 kg, took part in a 5-day training camp immediately prior to departure for the Games. In order to develop the hydration strategy, training took place under similar environmental conditions to those to be experienced in Malaysia (i.e., 32 degrees C, 80% humidity). Acclimation training consisted of 30-50 min of either continuous, low intensity cycling or high intensity intermittent cycling, which more closely replicated the pattern of activity in field hockey. Body mass measures taken each morning, and pre and post training, together with urine color measures, were used to assess hydration status. Pre-loading with up to 1 L of a 3% carbohydrate-electrolyte solution or water immediately prior to acclimation training, as well as regular drinks throughout, ensured that players avoided significant dehydration, with percent body mass changes ranging from -0.34% to +4.24% post training. Furthermore, the protocol used was sufficient to initiate the process of acclimation as demonstrated by a significant reduction in exercising heart rate and core temperature at all time points by days 4 and 5. In conclusion, although labor intensive and time consuming, the camp was successful in developing a hydration strategy that players were able to utilize once at the Games.
    Matched MeSH terms: Dehydration/prevention & control*
  15. Iyngkaran N, Yadav M
    J Trop Pediatr, 1998 08;44(4):199-203.
    PMID: 9718904 DOI: 10.1093/tropej/44.4.199
    Rice-starch based oral rehydration solution (ORS) has been shown to be a suitable alternative to glucose-based ORS in the treatment of both choleragenic and non-choleragenic dehydration in older infants and children. However, in young infants, the wider use of rice-starch ORS has been impeded because of theoretical concern about the poor digestibility of starch. The present study was conducted to evaluate the safety and efficacy of rice-starch ORS in the rehydration of acute diarrhoeal dehydration in infants below 6 months of age. Sixty-three infants with clinical features of acute gastroenteritis were randomly allocated to two groups. Group A, comprising 31 infants, received a rice-starch ORS and group B, comprising 32 infants, received a glucose-based ORS. The response to treatment was monitored by weight gain, stool frequency, and decrease in vomiting. The mean weight gain in moderately dehydrated and mildly dehydrated infants in both groups A and B were closely similar at 12, 24, and 48 h after treatment with the respective ORS solution. The infants without dehydration receiving rice-starch ORS had significantly greater weight gain at 12 h compared to those receiving glucose ORS. However, this difference was not observed at 24 and 48 h. The results of this study show that rice-starch ORS is as safe and efficacious as glucose-based ORS in young infants.
    Matched MeSH terms: Dehydration/therapy*
  16. Chew N, Noor Azhar AM, Bustam A, Azanan MS, Wang C, Lum LCS
    PLoS Negl Trop Dis, 2020 09;14(9):e0008562.
    PMID: 32881914 DOI: 10.1371/journal.pntd.0008562
    BACKGROUND: Dengue is a systemic and dynamic disease with symptoms ranging from undifferentiated fever to dengue shock syndrome. Assessment of patients' severity of dehydration is integral to appropriate care and management. Urine colour has been shown to have a high correlation with overall assessment of hydration status. This study tests the feasibility of measuring dehydration severity in dengue fever patients by comparing urine colour captured by mobile phone cameras to established laboratory parameters.

    METHODOLOGY/PRINCIPAL FINDINGS: Photos of urine samples were taken in a customized photo booth, then processed using Adobe Photoshop to index urine colour into the red, green, and blue (RGB) colour space and assigned a unique RGB value. The RGB values were then correlated with patients' clinical and laboratory hydration indices using Pearson's correlation and multiple linear regression. There were strong correlations between urine osmolality and the RGB of urine colour, with r = -0.701 (red), r = -0.741 (green), and r = -0.761 (blue) (all p-value <0.05). There were strong correlations between urine specific gravity and the RGB of urine colour, with r = -0.759 (red), r = -0.785 (green), and r = -0.820 (blue) (all p-value <0.05). The blue component had the highest correlations with urine specific gravity and urine osmolality. There were moderate correlations between RGB components and serum urea, at r = -0.338 (red), -0.329 (green), -0.360 (blue). In terms of urine biochemical parameters linked to dehydration, multiple linear regression studies showed that the green colourimetry code was predictive of urine osmolality (β coefficient -0.082, p-value <0.001) while the blue colourimetry code was predictive of urine specific gravity (β coefficient -2,946.255, p-value 0.007).

    CONCLUSIONS/SIGNIFICANCE: Urine colourimetry using mobile phones was highly correlated with the hydration status of dengue patients, making it a potentially useful hydration status tool.

    Matched MeSH terms: Dehydration/urine*
  17. Barker RA, Maxwell PH, Hong CP, Cordery MC, Chrystie IL
    Trans R Soc Trop Med Hyg, 1988;82(6):898-901.
    PMID: 2855768
    Over a period of 2 months, 35 of 69 (51%) cases of juvenile diarrhoea studied in eastern Malaysia were associated with rotavirus excretion; rotavirus associated diarrhoea occurred most commonly in the 6-24 month age group. Polyacrylamide gel electrophoresis (PAGE) of genome ribonucleic acid showed that only 4 rotavirus electropherotypes could be detected. Of those, 2 predominated and 2 were detected only once each; one of these may have been a reassortment of the two predominant electropherotypes. Analysis of the clinical features of patients excreting rotavirus subgroup 1 or 2, determined by PAGE, demonstrated that rotavirus subgroup 1 was associated with more hypotonic dehydration and need for intravenous therapy: lethargy was significantly more common among those excreting rotavirus subgroup 2.
    Matched MeSH terms: Dehydration/complications
  18. Greenwood MP, Greenwood M, Romanova EV, Mecawi AS, Paterson A, Sarenac O, et al.
    Neurobiol Aging, 2018 05;65:178-191.
    PMID: 29494864 DOI: 10.1016/j.neurobiolaging.2018.01.008
    Elderly people exhibit a diminished capacity to cope with osmotic challenges such as dehydration. We have undertaken a detailed molecular analysis of arginine vasopressin (AVP) biosynthetic processes in the supraoptic nucleus (SON) of the hypothalamus and secretory activity in the posterior pituitary of adult (3 months) and aged (18 months) rats, to provide a comprehensive analysis of age-associated changes to the AVP system. By matrix-assisted laser desorption/ionization time-of-flight mass spectrometry analysis, we identified differences in pituitary peptides, including AVP, in adult and aged rats under both basal and dehydrated states. In the SON, increased Avp gene transcription, coincided with reduced Avp promoter methylation in aged rats. Based on transcriptome data, we have previously characterized a number of novel dehydration-induced regulatory factors involved in the response of the SON to osmotic cues. We found that some of these increase in expression with age, while dehydration-induced expression of these genes in the SON was attenuated in aged rats. In summary, we show that aging alters the rat AVP system at the genome, transcriptome, and peptidome levels. These alterations however did not affect circulating levels of AVP in basal or dehydrated states.
    Matched MeSH terms: Dehydration/genetics*; Dehydration/metabolism*
  19. Wong AC, Chan LG
    Med J Malaysia, 2014 Oct;69(5):229-30.
    PMID: 25638238 MyJurnal
    We report a case of neonatal Bartter syndrome in a 31 weeks premature baby girl with antenatal unexplained polyhydramnios requiring amnioreduction. She presented with early onset E. coli septicaemia and severe dehydration leading to pre-renal renal impairment which obscure the typical biochemical changes of hypokalaemic hypochloraemic metabolic alkalosis.
    Matched MeSH terms: Dehydration
  20. Loh HH, Kamaruddin NA
    Ann Acad Med Singap, 2020 Jul;49(7):468-476.
    PMID: 33000110
    During Ramadan, Muslims fast from sunrise (Sahur) to sunset (Iftar) and are required to abstain from food and fluids, including oral and injectable medications. Patients with diabetes who fast during Ramadan are at risk of developing hyperglycemia with increased risk of ketoacidosis, hypoglycemia, dehydration and thrombosis. Pre-Ramadan education and preparation of a fasting patient are essential to reduce severe complications. This review paper summarizes studies to date on oral and injectable medications available for patients with type 2 diabetes during Ramadan fasting, as well as recommendations on management of these patients during Ramadan. Although there is limited data on the use of Metformin, Acarbose and Thiazolidinedione in Ramadan, they appear to be safe. Sulphonylurea, especially Glibenclamide, is associated with higher risk of hypoglycemia during Ramadan fasting, hence may need adjustment in dosing and timing. The incretin group and SGLT2 inhibitor use during Ramadan fasting is associated with low risk of hypoglycemia with no increased adverse events. Insulin regimes need to be individualized for patients who fast during Ramadan.
    Matched MeSH terms: Dehydration
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