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Year : 2009  |  Volume : 12  |  Issue : 3  |  Page : 113-117

Effect of ramadan fasting on glycaemic control and anthropometrics indices in patients with type 2 diabetes mellitus

1 Department of Medicine, Federal Medical Centre, Gusau, Nigeria
2 Department of Medicine, Jos University Teaching Hospital, Nigeria
3 Department of Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
4 Department of Medicine, Wuse Hospital Abuja, Nigeria
5 Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria

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K B Sada
Department of Medicine, Federal Medical Centre, Gusau, Zamfara State
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Background: Moderation in feeding habits are cardinal components of both Ramadan fasting and diabetic management. The study determines the effect of Ramadan fast on glycaemic control and anthropometric indices in persons with type 2 diabetes mellitus. Methods: Consecutive patients with type 2 diabetes mellitus (DM) on oral hypoglycaemic drugs who were willing to fast were recruited as study subjects. Data were collected over eight weeks at two weekly intervals beginning from two weeks before commencement and ending two weeks after Ramadan and analysed using statistical package software for social sciences (SPSS) version 12.0. Results: Two hundred and forty eight subjects (92%) completed the study. They consisted of 112(45.2%) males and 136(54.8%) females with an age range of 30-69 years and mean age of 46.9 ±8.9 years. The mean fasting blood glucose were 7.7, 7.3 and 7.4 mmol/L before, during and after Ramadan, respectively, with no significant difference in the values during these periods. However, there were significant decreases in mean weight and waist circumference during Ramadan compared to pre and post Ramadan periods (p<0.05). No episode of hypoglycaemia was observed. Conclusion: Ramadan fasting appeared to have no effect on blood glucose homeostasis in the study type 2 diabetic population.. Beneficial effects on anthropometric indices were however observed.

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