Ramadan and Type 2 Diabetes in Bangladesh

Sharmin Hossain, Kazi Rumana Ahmed, Farzana Saleh, Liaquat Ali

Abstract


Ramadan is the Holy month of the Muslims when they are required to fast from dawn to sunset. The present study was aimed at exploring the effects of fasting in the Ramadan on body mass index (BMI), waist circumference (WC), total cholesterol, triglyceride (TG), creatinine, and acute complications in patients with type 2 diabetes in Bangladesh. This prospective study was carried out among 92 types 2 diabetes patients (age 47±9 years, mean±SD), selected randomly from a tertiary-care hospital of the Diabetic Association of Bangladesh (BADAS). Significant changes were observed in the pulse rate (p=.001) and BMI (p=.001) in type 2 diabetes during Ramadan. Fasting blood glucose (p=.001), fructosamine (p=.001), TC (p=.003), HDL-C (p=.004), TG (p=.04), and creatinine (p=.01) were significantly higher in all the patients during fasting. Fasting during Ramadan is associated with a deterioration of metabolic control in diabetic patients. However, fasting did not cause any irreversible damage to renal function; so, fasting is safe for type 2 diabetes in Bangladesh during Ramadan.


Keywords


Blood glucose; Triglyceride; Body mass index; Fasting Ramadan; Hypoglycaemia; Type 2 diabetes; Bangladesh

Full Text:

PDF

References


Afifi, Z. E. (1997). Daily practices, study performance and health during the Ramadan fast. J R Soc Health, 177, 231.

Alkandari, J. R., Maughan, R. J., Roky, R., Aziz, A. R., & Karli, U. (2012). The implications of Ramadan fasting for human health and well-being. J Sports Sci, 1, 9-19.

Barkia, A., Mohamed, K., Smaoui, M., Zouari, N., Hammami, M., & Nasri, M. (2011). Change of diet, plasma lipids, lipoproteins, and fatty acids during Ramadan: a controversial association of the considered Ramadan model with atherosclerosis risk. J Health Popul Nutr, 29, 486.

Ewis, A., & Afifi, N. M. (1997, December 1-3). Ramadan fasting and non-insulin-dependent diabetes mellitus: effect of regular exercise (p.76). 2nd International Congress on Health and Ramadan, Istanbul.

Fakhrazadeh, H., Larijani, B., Sanjari, M., Baradar-Jalili, R., & Amini, M. R. (2003). Effects of Ramadan fasting on clinical and biochemical parameters in healthy adults. Ann Saudi Med, 23, 223-6.

Khaled, M. B., & Belbraouet, S. (2009). Ramadan fasting diet entailed a lipid metabolic disorder among type 2 diabetic obese women. Am J Appl Sci, 6, 471-7.

Laajam, M. A. (1990). Ramadan fasting and non insulin-dependent diabetes: effect of metabolic control. East Afr Med J, 67, 732.

Saada, D. A., Attou, G. S., Mouhtadi, F., Kassoul, S., Italhi, M., & Kati, D. (2008). Effect of the Ramadan fasting on the variations of certain anthropometric and biochemical parameters in type 2 diabetic patients treated with medications mixture (biguanides and sulfamides). Adv Biol Res, 2, 111.

Saleh, S., Elsharouni, A., Cherian, B., & Mourou, M. (2005). Effects of Ramadan fasting on waist circumference, blood pressure, lipid profile, and blood sugar on a sample of healthy Kuwaiti men and women. Mal J Nutr, 11, 143-50.

Yarahmadi, S. H., Larijani, B., Bastanhagh, M. H., Pajouhi, M., Baradar, J. R., & Zahedi, F. (2003). Metabolic and clinical effects of ramadan fasting in patients with type II diabetes. J Coll Physicians Surg Pak, 13, 329.

Yousuf, R. M., Fauzi, A. R. M., How, S. H., & Shah, A. (2013). Metabolic changes during ramadan fasting in normal people and diabetic patients. Kuantan, Pahang: Kulliyyah of Medicine, Department of Internal Medicine, International Islamic University Malaysia. Retrieved 2013, April 9 from http://www.eimjm.com/Vol2-No2/Vol2-No2-B8.htm

Zadegan, S. N., Atashi, M., Naderi, G. A., Baghai, A. M., Asgary, S., & Fatehifar, M. R., et al. (2000). The effect of fasting in Ramadan on the values and interrelations between biological, coagulation and hematological factors. Ann Saudi Med, 20, 377-81.




DOI: http://dx.doi.org/10.3968/6621

DOI (PDF): http://dx.doi.org/10.3968/g7514

Refbacks

  • There are currently no refbacks.


Copyright (c)




Share us to:   


Reminder

We are currently accepting submissions via email only.

The registration and online submission functions have been disabled.

Please send your manuscripts to ans@cscanada.net,or  ans@cscanada.org  for consideration. We look forward to receiving your work.

 

 Articles published in Advances in Natural Science are licensed under Creative Commons Attribution 4.0 (CC-BY).

 ADVANCES IN NATURAL SCIENCE Editorial Office

Address: 1055 Rue Lucien-L'Allier, Unit #772, Montreal, QC H3G 3C4, Canada.

Telephone: 1-514-558 6138
Website: Http://www.cscanada.net; Http://www.cscanada.org
E-mail:caooc@hotmail.com; office@cscanada.net

Copyright © 2010 Canadian Research & Development Centre of Sciences and Cultures