Diabetes in Ramadan

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Diabetes in Ramadan Meta-analysis of 92 studies
on fasting Ramadan in Diabetic patients Abbas
Orabi
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The patients of 92 studies have been enrolled in
the ongoing meta-analysis.
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Patient criteria Group I Patients controlling
their diabetes by diet and exercise. Group
2 Patients controlling their diabetes with
tablets (OHA). Group 3 Patients controlling
their diabetes with insulin (?OHA).
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Studies search Studies included were derived
from medline using the key words Ramadan,
fasting and diabetes
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Inclusion criteria Reports of data from
original studies including data from the control
period before or after Ramadan and data from the
period of Ramadan.
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Exclusion criteria - Reports before and after
Ramadan only. - Review articles. - Case
studies. - Letter to editors.
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The main points of the study 1) Hypoglycemic
episodes Severity frequency. 2) The
glucose excursions. 3) PostIftar
hyperglycemia. 4) The frequency of cardiac
events Angina, Arrhythmias Myocardial
infarction.
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The efficacy and safety of different drugs
enrolled in the study - Metformin - TZDs -
SUs - Incretin-based therapeies - Insulin
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The questions expected to be answered 1) Profile
of patients who fast safely. 2) Which drugs are
safer? 3) Is there a need to change the regimen
or to switch the drug? 4) The cardiac events in
diabetic patients who fast.
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Wait the results in The 3rd ADF 5/7/9 2012