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N. 07. Dehydration, volume depletion, and a tendencytoward hypotension may occur with fastingduring Ramadan. 07. 05. 10. Drug intake during Ramadan. 05. This page has information for people living with diabetes who are thinking about fasting. We aimed to determine patient-guided modifications of OAC medication regimen during Ramadan and to evaluate its consequences. g.  · Covid-19 produces mild symptoms in most people; however, some can develop severe or critical illness, leading to starvation ketosis, severe dehydration and rapid clinical deterioration, particularly in those with diabetes and cardiovascular disease (seen at higher prevalence in the ethnic minority communities). Fasting during the holy month of Ramadan is one of the five pillars of Islam. 1992;304:521–2. 6% prevalence of diabetes worldwide ), lead to the estimation that some 40–50 million people with diabetes worldwide fast during Ramadan. Bouchareb, Y. Coronavirus:. Article Download PDF View Record in Scopus Google Scholar. Ramadan is a lunar-based month, and its duration varies between days. A study was planned to observe the association between different dietary patterns and glycemic control and compliance to dietary advice among. The mother denied androgenic drug intake during the pregnancy and did not notice voice change, hirsutism or clitoromegaly. Aadil N, Houti IE, Moussamih S. Houti, B. Possible explanations of the changes are considered by reference to the roles of the body clock and external factors such as the environment and the individual's lifestyle. Factors such as concordance with medication ability and reliability for the patient to monitor blood glucose. 12. Drowning is a leading cause of injury and death among young people. RESEARCH DESIGN AND METHODS —This was a population-based, retrospective, transversal survey conducted in 13 countries. 03. Ramadan-style fasting differs from the model used in may studies of the metabolic and performance effects of fasting in that it involves repeated days without food and fluid intake during the hours of daylight but with no restrictions on intake during the hours of darkness. A 26 year old woman diagnosed with breast TB after isolation of drug sensitive Mycobacterium tuberculosis by breast nodule biopsy was started on treatment on 18 February with four drugs (rifampin 600 mg/day, isoniazid 300 mg/day, pyrazinamide 2 g/day, and ethambutol 1. 01. Depending on the.  · Drowning is defined as the process of experiencing respiratory impairment from submersion or immersion in liquid. 49 During Ramadan about 60% of patients change their antidiabetic drug intake: 35% stop treatment 8% change the dosage schedule 25% decrease the drug dose. Ramadan is one of the five pillars of Islam. We also have factsheets in different languages. Majority of physicians are of the opinion that Ramadan fasting is acceptable for well-balanced type 2 patients conscious of their disease and compliant with their diet and drug intake. Aadil, A. 11. BMJ. میرے. 12, 13 Average intake of each food item during the last 12 months was reported in 10 categories from ‘never’ to ‘4–5 per day’. She had non-palpable gonads with Prader stage 1 genitalia in the form.  · Pharmaceutical practice and selling of drugs during Ramadan. However, this is largely based on clinical opinion. Data on patients' behavior to oral anticoagulant (OAC) drug intake during Ramadan is missing. It has been estimated that 80% to 90% of all drownings. 10.  · Assalam-o-Alaikum! Drug intake during ramadan, a clinical revies. 21. 01. BMJ,, pp. 2 This year, UK Ramadan fasts were 17-18 hours long, making sufficient fluid intake. Siddiqui and Q. Objective To investigate the influence of non-steroidal anti-inflammatory drugs (NSAIDs) intake on radiographic spinal progression over 2 years in patients with ankylosing spondylitis (AS) and non-radiographic axial spondyloarthritis (SpA). Sorry, our data provider has not provided any external links therefore we are unable to provide a link to the full text. Data on all hypoglycemic episodes during Ramadan, as collected and reported a posteriori by physicians at the post-Ramadan visit, are presented in Fig. Fijn e. Rashed AH. Data sources Medline, Embase, PsycINFO, and LILACS to September. Fasting during Ramadan, a holy month of Islam, is an obligatory duty for all healthy adult Muslims. Since our last publication about diabetes and fasting during Ramadan (1), we have received many inquires and comments concerning important issues that were not discussed in the previous document, including the voluntary 1- to 2-day fasts per week that many Muslims practice throughout the year, as well as the effect of prolonged fasting (more than 18 h a day) in regions far from the equator. Objective To compare the risk for all cause and overdose mortality in people with opioid dependence during and after substitution treatment with methadone or buprenorphine and to characterise trends in risk of mortality after initiation and cessation of sign Systematic review and meta-analysis. a. Participants were patients who fasted Ramadan and who were on. 07. Ramadan is the ninth month of the Islamic calendar, when Muslims fast during. In all categories of events, rates of hypoglycemia were numerically lower in the vildagliptin cohort as compared with the IS cohort. At least 1 episode of symptomatic hypoglycemia was reported during Ramadan in 37. A. Shaikh, journal=Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, year=, volume. , author=Rahila Ali and H. However, if patient with diabetes wish to fast, it is necessary to. Introduction: Ramadan is the ninth month in the Islamic Hijri calendar where Muslims are ex-pected to fast every day from dawn to sunset. Generally, meal frequency is reduced during Ramadan fasting, which it has been found often leads to reduced energy intake and loss of. Diabetes Care vol 27 nr 10:2306. Meal-time as a synchronizer in humans? Changes in treatment regimen Before Ramadan During Ramadan Patients on insulin 70/30 premixed insulin twice daily, e. Islamic rules allow patients not to fast. 329:778– 82; Implicaties van gecombineerd vasten en therapie(on)trouw. The fast of Ramadan. Acta, (2):179-189 MED: 9565333. 137: 87–193; A population–based study of diabetes and its characteristics during the fasting month of ramadan in 13 countries. Public Health. In fact, animal data demonstrate significant overlap between the consumption of added sugars and drug-like effects,10 40–42 producing (1) bingeing, (2) craving (a strong desire to ‘use’), (3) tolerance (gradual escalation in intake with repeated use), (4) withdrawal (adverse physiological signs with discontinuation of use), (5) cross-sensitisation (increased response to drugs of abuse. A multicenter cross-sectional study conducted in Saudi Arabia. Data were collected shortly after Ramadan. Islamic rules allow patients not to fast. This article focuses on changes in Ramadan during the course of the waking day in physical performance, mental performance and gastrointestinal function. British Medical Journal, vol. Many Muslims with diabetes have an optimistic view of Ramadan and insist on fasting as they perceive the fasting period to be favourable for their health and well-being. CAS Article PubMed Google Scholar 5. Salti I, Benard E, Detournay B et al. CAS Article PubMed PubMed Central Google Scholar 6. Although the sick are exempted by Islam from fasting, many diabetic patients still choose to fast during Ramadan, and in some cases, even against their doctor’s advice. 2,3 Hospitals. 2 g/day). Importantly, this is done at the patients’ own initiative without medical supervision. Aadil N, Houti IE, Moussamih S. For each participant, average daily intake was calculated using the Food Calc software V. title=Knowledge and perception of patients regarding medicine intake during Ramadan. At admission, HCQ and prednisone were maintained at the same dose, whereas immunosuppressant drug intake was interrupted or decreased. Chim. Aadil, e. Muslims who fast during Ramadan abstain from eating, drinking, using oral and injectable medications, and smoking from before dawn until after sunset; however, there are no restrictions on food, fluid or medication intake between sunset and dawn. Benaji, M. 09. • In this set of patients, beneficial effects of intermittent fasting were demonstrated on RA activity. Salti, e. Whilst the above is a useful guide, individual patient circumstances (including favourable circumstances) need to be considered and this should be discussed fully with the patient (and where appropriate their family). Anjum and M. No additional antiviral treatments were started. 02. Although amiodarone is regarded as a highly effective anti-arrhythmic agent, its use may lead to alterations in thyroid gland function and/or thyroid hormone metabolism, partly because of its rich iodine content. A total of 12,914 patients with diabetes were. Aims: To assess, in a real-world setting, the effect of vildagliptin compared with sulphonylurea (SU) treatment on hypoglycaemia in Muslim patients with type 2 diabetes mellitus (T2DM) fasting during Ramadan. Review Free to read. Objective To investigate the impact of Ramadan on patient characteristics, diagnoses and metrics in the paediatric emergency department (PED). It gives tips on reducing the risks of becoming ill if you decide to fast and and when it's advisable not to fast. Lohar and S. Ramadan in will run from April 12 to May 11, ending with Eid al-Fitr, a religious holiday celebrated by Muslims worldwide. In addition, patients with a specific fear of drug intake during this period can be reassured, which will enhance the adherence to treatment. Pharmaceutisch Weekblad, vol. BMJ, (7469):778-782 MED:Beneficial effect on serum apo AI, apo B and Lp AI levels of Ramadan fasting.  · Objectives Caffeine is a habit-forming substance consumed daily by the majority of pregnant women. 1. 18. 01. Exposure Ramadan (June 20) versus the months before and after Ramadan (non-Ramadan). J Am Pharm Assoc (Wash), 41(4):511, Cited by. Ramadan fasting alters endocrine and neuroendocrine circadian patterns. Touitou. It is common practice that the intake of foodsrich in carbohydrates and saturated fats isincreased during Ramadan.  · Drug intake during Ramadan. Adlouni A, Ghalim N, Saile R, Hda N, Parra HJ, Benslimane A. Modified eating habits during the month of Ramadan and the significant increase in food intake after breaking the fast can unbalance the metabolism of patients with diabetes (1–3). The training load is often reduced during Ramadan to match the absence of energy and fluid intake during daylight, which implies a risk of losing training induced adaptations. Should coaches and athletes decide to reduce the training load during Ramadan, the key role of training intensity in retaining training induced adaptations should be kept. 5 cm (5th–10th percentile); blood pressure (BP): 88/58 mm Hg (50th−90th percentile for age and height). Key Points • Intermittent diurnal fasting during Ramadan can modulate the inflammatory status through the down-regulation of metabolic syndrome, the reduction of pro-inflammatory cytokines, and the reduction of circulating levels of leukocytes • Ramadan intermittent fasting (RIF) can. g. Accordingly, it is important that women receive sound evidence-based advice about potential caffeine-related harm. Patients treated with amiodarone may manifest altered thyroid hormone profile without thyroid dysfunction, or they may present with clinically significant amiodarone-induced. 1 These individuals cope poorly with modern medical and surgical interventions and, on average, stay in hospital for approximately five days longer than the normally nourished, incurring approximately 50% greater costs.  · Introduction. 01. a.  · Aslam M, Assad A. 06. 10. Objective Women with gestational diabetes mellitus (GDM) are categorized as at high risk for adverse events during Ramadan fasting. This narrative review examines evidence of association between maternal caffeine consumption and negative pregnancy outcomes, and assesses whether current. A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries. 2% of patients in the IS. Fassi-Fihri, I. Find the dates for Ramadan in the multifaith calendar. Adapted from BMJ Open Diabetes Research and Care ;3:e000108. 01. Patients with undernutrition to a degree that may impair immunity, wound healing, muscle strength, and psychological drive are common in UK hospital populations. . السلام عليكم ___ Welcome To My Channel chand khawar. 3 (J Lauritsen, University of Copenhagen. .  · Ramadan When is Ramadan? A total of 32 patients with GDM were recruited; 10 patients, treated. , 70/30 premixed insulin, 30 units in evening and 10 units in morning; also consider. Antibiotics were administered in nine (53%) cases even though no. There is a need to highlight and illustrate the role of the pharmacists in medication adjustment challenges that. Qaisi VG. The duration of each day's period of fasting during Ramadan is relatively short, though it will depend upon both latitude. 05. In this study, we shed some light on what happens to glucose levels during Ramadan fasting.  · During Ramadan, people usually eat two meals a day: one before dawn and the other after sunset. View Record in Scopus Google Scholar. 9. Key Points • Fasting during Ramadan, the ninth month of the Islamic calendar, consists of intermittent fasting observed from sunrise to sunset. Majority of physicians are of the opinion that Ramadan fasting is acceptable for well-balanced type 2 patients conscious of their disease and compliant with their diet and drug intake. Methods This is a prospective observational study. a. Knowledge and perception of patients regarding medicine intake during Ramadan. Corpus ID:. Patients who reported an increase in food and/or sugar intake had significantly higher rates of severe f: A population based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: results of the epidemiology of diabetes and Ramadan. 12. 01. I.  · Drug intake during Ramadan. The eating behavior changes during Ramadan and the abstinence of food affects the oral drugs administration and other convenience dosage forms. 01. Clin. Setting PED of a tertiary care centre in Lebanon. Design Retrospective cross-sectional study. What is Ramadan? At baseline, participants completed a 192-item FFQ that was validated against two 7-day weighed diet records. An ∼4. These findings may give some reassurance to patients with a specific fear of drug intake during this month. Chocolate intake. Methods: This multinational, non-interventional study, conducted in Asia and the Middle East, included Muslim adult patients with T2DM who received treatment with vildagliptin or SU as. . 01. During this holy month, adult Muslims are required to refrain from all oral intake of food, water, beverages, drugs, and from sexual intercourse between dawn and sunset. Physical examination revealed the following: Weight: 12 kg (25th–50th percentile); height: 84. 1. Patients All paediatric patients. However, many Muslim patients with chronic illnesses insist on fasting despite Islamic rules that permit exemption in case of illness. Medical Management of Diabetes During Ramadan Jennifer Hamilton, MD August, CE Rajab, 1428 AH Slideshare uses cookies to improve functionality and. Appropriatecounselling should be given to avoid thispractice. OBJECTIVE —The aim of this study was to assess the characteristics and care of patients with diabetes in countries with a sizable Muslim population and to study diabetes features during Ramadan and the effect of fasting.  · Energy balance. Observing a fast during Ramadan results in important physiological conditions. , 30 units in morning and 20 units in evening Ensure adequate fluid intake Use the usual morning dose at the sunset meal (Iftar) and half the usual evening dose at predawn (Saher), e. Evidence-based guidelines for food intake during Ramadan do not exist. Introduction.  · As the intake of oral antidiabetic drugs (OADs) during daylight hours is forbidden during Ramadan, adequate glycaemic control can be especially challenging for patients with T2DM. Hyperglycemia may have been due to excessive reduction in dosages of medications to prevent hypoglycemia. Increasing awareness of health care concerns during Ramadan. ___ Voice, Research, Produced, & Directed by chandkhawar ___! The effects of these factors upon training schedules and upon. However, if patient with diabetes wish to fast, it is necessary to. Fasting during Ramadan for patients with diabetes carries a risk of an assortment of complications. Hence, the dosage of antihypertensivemedications may need to be adjusted toprevent hypotension. 02. Bogdan, B. The risks associated with fasting,. Its median (range) was–) ng/mL. Methods 164 patients with axial SpA (88 with AS and 76 with non-radiographic axial SpA) were selected for this analysis based on availability of spinal. Its timing changes with respect to seasons. Fasting during Ramadan for patients with diabetes carries a risk of an assortment of complications. 778-782. BMJ,:778-782, Cited by 28 articles | PMID:| PMCID: PMC521001. Drug regimens and fasting during Ramadan: a survey in Kuwait. We describe a case of a reaction to cheese in a patient with tuberculosis (TB) while on treatment with isoniazid. 1986;100:49–53. HCQ blood concentrations were assessed in eight patients at admission or during hospitalisation. Life Sci,, pp.