Cargando…

Fructosamine as an Index of Short-Term Glycemic Control in Pregnant Women with Diabetes: Before, During and After Ramadan

PURPOSE: Impact of ramadan fasting on healthy and women with diabetes is already known. However, there is a scarcity of data on impact of fasting on pregnant women with diabetes. Moreover, religious and medical recommendations advise pregnant women against fasting as it is unsafe. Despite being exem...

Descripción completa

Detalles Bibliográficos
Autores principales: Ekhzaimy, Aishah, Alkatari, Shadin, AlMaatouq, Mohamed, Alotaibi, Daad, Aljasser, Sarah, Aseeri, Amal, Jammah, Anwar, Mujammami, Muhammad, Fouda, Mona, Alfadda, Assim A, Sulaimani, Riad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8978904/
https://www.ncbi.nlm.nih.gov/pubmed/35386939
http://dx.doi.org/10.2147/IJWH.S351654
_version_ 1784681056645939200
author Ekhzaimy, Aishah
Alkatari, Shadin
AlMaatouq, Mohamed
Alotaibi, Daad
Aljasser, Sarah
Aseeri, Amal
Jammah, Anwar
Mujammami, Muhammad
Fouda, Mona
Alfadda, Assim A
Sulaimani, Riad
author_facet Ekhzaimy, Aishah
Alkatari, Shadin
AlMaatouq, Mohamed
Alotaibi, Daad
Aljasser, Sarah
Aseeri, Amal
Jammah, Anwar
Mujammami, Muhammad
Fouda, Mona
Alfadda, Assim A
Sulaimani, Riad
author_sort Ekhzaimy, Aishah
collection PubMed
description PURPOSE: Impact of ramadan fasting on healthy and women with diabetes is already known. However, there is a scarcity of data on impact of fasting on pregnant women with diabetes. Moreover, religious and medical recommendations advise pregnant women against fasting as it is unsafe. Despite being exempted, many pregnant Muslim women with diabetes still choose to fast during ramadan. This study investigated different glycemic marker as an indicator for diabetes control in fasting pregnant women. PATIENTS AND METHODS: This is a prospective observational study. A total of 89 pregnant diabetes women were recruited. Blood glucose was self-monitored in all the pregnant women using glucose monitoring device at home. We measure the fructosamine, HbA1c levels before, during and after ramadan. RESULTS: Pregnant women with type 1 diabetes were 14 (25%), type 2 diabetes were 21 (37.5%), and gestational diabetes were 21 (37.5%). The mean fructosamine level decreased during and after ramadan in gestation diabetes pregnant women compared to type 2 diabetes and type 1 diabetes pregnant women subjects (p = 0.009). CONCLUSION: The present study indicates that pregnant women with diabetes were able to fast during ramadan and there fructosamine level reduced during fasting. Utilization of fructosamine for short-term monitoring of glycemic control in addition to home glucose monitoring in pregnant women with diabetes will provide a good index of glycemic control. RECOMMENDATION: Religious and medical recommendations advise pregnant women against fasting as it is unsafe, and they are under high risk. However, if they insist to do fast, they must do under strict medical supervision and fructosamine can be used as a glycemic control marker.
format Online
Article
Text
id pubmed-8978904
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Dove
record_format MEDLINE/PubMed
spelling pubmed-89789042022-04-05 Fructosamine as an Index of Short-Term Glycemic Control in Pregnant Women with Diabetes: Before, During and After Ramadan Ekhzaimy, Aishah Alkatari, Shadin AlMaatouq, Mohamed Alotaibi, Daad Aljasser, Sarah Aseeri, Amal Jammah, Anwar Mujammami, Muhammad Fouda, Mona Alfadda, Assim A Sulaimani, Riad Int J Womens Health Original Research PURPOSE: Impact of ramadan fasting on healthy and women with diabetes is already known. However, there is a scarcity of data on impact of fasting on pregnant women with diabetes. Moreover, religious and medical recommendations advise pregnant women against fasting as it is unsafe. Despite being exempted, many pregnant Muslim women with diabetes still choose to fast during ramadan. This study investigated different glycemic marker as an indicator for diabetes control in fasting pregnant women. PATIENTS AND METHODS: This is a prospective observational study. A total of 89 pregnant diabetes women were recruited. Blood glucose was self-monitored in all the pregnant women using glucose monitoring device at home. We measure the fructosamine, HbA1c levels before, during and after ramadan. RESULTS: Pregnant women with type 1 diabetes were 14 (25%), type 2 diabetes were 21 (37.5%), and gestational diabetes were 21 (37.5%). The mean fructosamine level decreased during and after ramadan in gestation diabetes pregnant women compared to type 2 diabetes and type 1 diabetes pregnant women subjects (p = 0.009). CONCLUSION: The present study indicates that pregnant women with diabetes were able to fast during ramadan and there fructosamine level reduced during fasting. Utilization of fructosamine for short-term monitoring of glycemic control in addition to home glucose monitoring in pregnant women with diabetes will provide a good index of glycemic control. RECOMMENDATION: Religious and medical recommendations advise pregnant women against fasting as it is unsafe, and they are under high risk. However, if they insist to do fast, they must do under strict medical supervision and fructosamine can be used as a glycemic control marker. Dove 2022-03-30 /pmc/articles/PMC8978904/ /pubmed/35386939 http://dx.doi.org/10.2147/IJWH.S351654 Text en © 2022 Ekhzaimy et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Ekhzaimy, Aishah
Alkatari, Shadin
AlMaatouq, Mohamed
Alotaibi, Daad
Aljasser, Sarah
Aseeri, Amal
Jammah, Anwar
Mujammami, Muhammad
Fouda, Mona
Alfadda, Assim A
Sulaimani, Riad
Fructosamine as an Index of Short-Term Glycemic Control in Pregnant Women with Diabetes: Before, During and After Ramadan
title Fructosamine as an Index of Short-Term Glycemic Control in Pregnant Women with Diabetes: Before, During and After Ramadan
title_full Fructosamine as an Index of Short-Term Glycemic Control in Pregnant Women with Diabetes: Before, During and After Ramadan
title_fullStr Fructosamine as an Index of Short-Term Glycemic Control in Pregnant Women with Diabetes: Before, During and After Ramadan
title_full_unstemmed Fructosamine as an Index of Short-Term Glycemic Control in Pregnant Women with Diabetes: Before, During and After Ramadan
title_short Fructosamine as an Index of Short-Term Glycemic Control in Pregnant Women with Diabetes: Before, During and After Ramadan
title_sort fructosamine as an index of short-term glycemic control in pregnant women with diabetes: before, during and after ramadan
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8978904/
https://www.ncbi.nlm.nih.gov/pubmed/35386939
http://dx.doi.org/10.2147/IJWH.S351654
work_keys_str_mv AT ekhzaimyaishah fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT alkatarishadin fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT almaatouqmohamed fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT alotaibidaad fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT aljassersarah fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT aseeriamal fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT jammahanwar fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT mujammamimuhammad fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT foudamona fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT alfaddaassima fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan
AT sulaimaniriad fructosamineasanindexofshorttermglycemiccontrolinpregnantwomenwithdiabetesbeforeduringandafterramadan