• Mohamed Hassanein, Binte ZainudinSuezianiSSengkang General Hospital, Sengkang, Singapore., Shehla Shaikh, Inass Shaltout, Rachid Malek, Mehmet Akif Buyukbese, Eman M Alfadhli, Khalid Shaikh, Zanariah Hussein, Fatimah Eliana, Khadija Hafidh, Lobna F El Toony, Mohammed Fariduddin, Majid Alabbood, Mohammed Ali Batais, Nazma Akter, Rulli Rosandi, Samih Abed Odhaib, Reem Al Amoudi, and Muhammad Yakoob Ahmedani.
• Dubai Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
• Curr Med Res Opin. 2024 Sep 1; 40 (9): 151515231515-1523.

BackgroundManaging diabetes during Ramadan fasting is a challenge due lifestyle changes. We described the characteristics and patterns of care for type 2 diabetes mellitus (T2DM) during Ramadan 2020 and 2022.MethodsOur study included multinational Muslims with T2DM who were during routine consultation. We collected data on demographics, fasting characteristics, and complications. Descriptive statistics, chi-square test, and multiple testing were performed.Results12,529 patients participated. Mean age was 55.2 ± 11.8 years; 52.4% were females. Mean diabetes duration was 9.9 ± 7.4 years; 27.7% were with HbA1c >9% (75 mmol/mol) and 70% had complications. Metformin was the most used medication followed by insulin. 85.1% fasted ≥1 day; fasting mean duration was 27.6 ± 5.6 days. Hypoglycemia occurred in 15.5% of whom 11.7% attended emergency department or were hospitalized; this was significantly associated with age and/or duration of diabetes. Hyperglycemia occurred in 14.9% of whom 6.1% attended emergency department or were hospitalized and was also associated with age or duration of diabetes. 74.2% performed SMBG during fasting. 59.2% were educated on Ramadan fasting, with 89.7% receiving it during routine consultation.ConclusionsRamadan fasting in T2DM is high. Multidisciplinary approach is required to mitigate complications. Our findings support current recommendations for safe fasting.

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