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Does Ramadan Intermittent Fasting Affect the Fasting Blood Glucose Level among Type II Diabetic Patients?

Background: The level of fasting blood glucose (FBG) is influenced by several factors, including health status, genetics, and diet. Some studies have reported a beneficial effect of Ramadan Intermittent Fasting (RIF) on diabetic patients. However, clinical observations have shown that diabetes is ex...

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Autores principales: Jarrar, Yazun, Abdul-Wahab, Ghasaq, Mosleh, Rami, Abudahab, Sara, Jarrar, Qais, Hamdan, Anas, Qadous, Shurouq Ghalib, Balasmeh, Ruba, Abed, Abdulqader Fadhil, Ibrahim, Yasmeen, Al-Doaiss, Amin A., AlShehri, Mohammed Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607677/
https://www.ncbi.nlm.nih.gov/pubmed/37892742
http://dx.doi.org/10.3390/jcm12206604
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author Jarrar, Yazun
Abdul-Wahab, Ghasaq
Mosleh, Rami
Abudahab, Sara
Jarrar, Qais
Hamdan, Anas
Qadous, Shurouq Ghalib
Balasmeh, Ruba
Abed, Abdulqader Fadhil
Ibrahim, Yasmeen
Al-Doaiss, Amin A.
AlShehri, Mohammed Ali
author_facet Jarrar, Yazun
Abdul-Wahab, Ghasaq
Mosleh, Rami
Abudahab, Sara
Jarrar, Qais
Hamdan, Anas
Qadous, Shurouq Ghalib
Balasmeh, Ruba
Abed, Abdulqader Fadhil
Ibrahim, Yasmeen
Al-Doaiss, Amin A.
AlShehri, Mohammed Ali
author_sort Jarrar, Yazun
collection PubMed
description Background: The level of fasting blood glucose (FBG) is influenced by several factors, including health status, genetics, and diet. Some studies have reported a beneficial effect of Ramadan Intermittent Fasting (RIF) on diabetic patients. However, clinical observations have shown that diabetes is exacerbated in some patients. Aim: This study aims to investigate the influence of RIF on the FBG level, a biomarker of hyperglycemia and diabetes, and to identify factors associated with variations in FBG levels during RIF among diabetic patients. Methods: This study is a cross-sectional study. We monitored the FBG levels of 181 type II diabetic patients over a two-month period, from 20 February to 20 April 2023, which represents the Islamic lunar months of Shaban (8th month) and Ramadan (9th month). Ramadan provides a prominent month of intermittent fasting practice for studying its physiological effects on diabetes. We collected clinical data from each participant, including demographic information, co-morbidities, and medications used during this period. Results: Based on our findings, diabetic patients were classified into three groups depending on the influence of RIF on FBG levels: the positively affected group (44%), whose average FBG levels were reduced; the neutrally affected group (24%), whose average FBG levels did not change; and the negatively affected group (32%), whose average FBG levels increased during the fasting month of Ramadan compared to the previous month. Furthermore, we found that the positive effect of RIF was more frequent among obese, non-geriatric, and male diabetic patients, while the negative effect of RIF was more frequent among patients who were not adhering to the medication. Conclusions: This study concludes that RIF affects FBG levels differently among diabetic patients. These findings should be taken into consideration when treating diabetic patients during the fasting month of Ramadan, and further studies are needed to identify (1) factors associated with inter-individual variation in the response to RIF and (2) those who are great candidates for RIF.
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spelling pubmed-106076772023-10-28 Does Ramadan Intermittent Fasting Affect the Fasting Blood Glucose Level among Type II Diabetic Patients? Jarrar, Yazun Abdul-Wahab, Ghasaq Mosleh, Rami Abudahab, Sara Jarrar, Qais Hamdan, Anas Qadous, Shurouq Ghalib Balasmeh, Ruba Abed, Abdulqader Fadhil Ibrahim, Yasmeen Al-Doaiss, Amin A. AlShehri, Mohammed Ali J Clin Med Article Background: The level of fasting blood glucose (FBG) is influenced by several factors, including health status, genetics, and diet. Some studies have reported a beneficial effect of Ramadan Intermittent Fasting (RIF) on diabetic patients. However, clinical observations have shown that diabetes is exacerbated in some patients. Aim: This study aims to investigate the influence of RIF on the FBG level, a biomarker of hyperglycemia and diabetes, and to identify factors associated with variations in FBG levels during RIF among diabetic patients. Methods: This study is a cross-sectional study. We monitored the FBG levels of 181 type II diabetic patients over a two-month period, from 20 February to 20 April 2023, which represents the Islamic lunar months of Shaban (8th month) and Ramadan (9th month). Ramadan provides a prominent month of intermittent fasting practice for studying its physiological effects on diabetes. We collected clinical data from each participant, including demographic information, co-morbidities, and medications used during this period. Results: Based on our findings, diabetic patients were classified into three groups depending on the influence of RIF on FBG levels: the positively affected group (44%), whose average FBG levels were reduced; the neutrally affected group (24%), whose average FBG levels did not change; and the negatively affected group (32%), whose average FBG levels increased during the fasting month of Ramadan compared to the previous month. Furthermore, we found that the positive effect of RIF was more frequent among obese, non-geriatric, and male diabetic patients, while the negative effect of RIF was more frequent among patients who were not adhering to the medication. Conclusions: This study concludes that RIF affects FBG levels differently among diabetic patients. These findings should be taken into consideration when treating diabetic patients during the fasting month of Ramadan, and further studies are needed to identify (1) factors associated with inter-individual variation in the response to RIF and (2) those who are great candidates for RIF. MDPI 2023-10-18 /pmc/articles/PMC10607677/ /pubmed/37892742 http://dx.doi.org/10.3390/jcm12206604 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jarrar, Yazun
Abdul-Wahab, Ghasaq
Mosleh, Rami
Abudahab, Sara
Jarrar, Qais
Hamdan, Anas
Qadous, Shurouq Ghalib
Balasmeh, Ruba
Abed, Abdulqader Fadhil
Ibrahim, Yasmeen
Al-Doaiss, Amin A.
AlShehri, Mohammed Ali
Does Ramadan Intermittent Fasting Affect the Fasting Blood Glucose Level among Type II Diabetic Patients?
title Does Ramadan Intermittent Fasting Affect the Fasting Blood Glucose Level among Type II Diabetic Patients?
title_full Does Ramadan Intermittent Fasting Affect the Fasting Blood Glucose Level among Type II Diabetic Patients?
title_fullStr Does Ramadan Intermittent Fasting Affect the Fasting Blood Glucose Level among Type II Diabetic Patients?
title_full_unstemmed Does Ramadan Intermittent Fasting Affect the Fasting Blood Glucose Level among Type II Diabetic Patients?
title_short Does Ramadan Intermittent Fasting Affect the Fasting Blood Glucose Level among Type II Diabetic Patients?
title_sort does ramadan intermittent fasting affect the fasting blood glucose level among type ii diabetic patients?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607677/
https://www.ncbi.nlm.nih.gov/pubmed/37892742
http://dx.doi.org/10.3390/jcm12206604
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