Ramazan'da oruç tutmanın tip 2 diyabetik hastalara etkisi

Yıl 2019, Cilt: 44 Sayı: 3, 758 - 763, 30.09.2019

Filiz Ekşi Haydardedeoğlu Gülay Şimşek Bağır Akatlı Kürşat Özşahin

https://doi.org/10.17826/cumj.496374

Cited By: 1

Öz

Amaç: Ramazan ayında oruç tutmak Müslümanlar için dini bir zorunluluktur. Uzamış açlık bu hastaları hipoglisemi ya da hiperglisemi gibi akut komplikasyonlarla karşı karşıya getirmektedir. Bu çalışmada Ramazan ayında oruç tutan bireylerde açlığın glukoz regülasyonu üzerine etkisini araştırmayı amaçladık.

Gereç ve Yöntem: Hastalar uzun süreli açlığın olası komplikasyonları hakkında bilgilendirildikten sonra Ramazan ayında oruç tutacağını beyan eden bireylerle  Ramazan ayı bitiminden 1 ay sonra telefon görüşmesi yapıldı. Telefon görüşmesiyle gerçekleştirilen bu retrospektif kohort çalışmada, kaç gün oruç tuttukları, günlük glukoz ölçümleri, eğer yaşadılarsa hipoglisemik atak sayısı ve tedavilerini değiştirip değiştirmedikleri soruldu.

Bulgular: Çalışmaya 46 diyabetik hasta dahil edildi. Ortalama yaş 54.3±9.5 saptandı. Ortalama oruç tutulan gün sayısı 25.24±2.4 idi. Hastalar risk sınıflamasına göre gruplandırıldı. Hipoglisemik atak sayısında ramazandan önceki 6 ay içinde saptanan atak sayısına göre fark saptanmadı. Hastalarda hiperglisemi, hipoglisemiye göre daha yüksek sıklıkla tespit edildi. Hipoglisemi ya da hiperglisemi yaşayan bireylerin oruç tutmaya devam ettikleri ve tedavilerinide değişiklik yapmadıkları belirlendi.

Sonuç: Ramazan ayında oruç tutan bireylerde hem hipoglisemi hem de hiperglisemi yatkınlığı mevcuttur. Glisemik regülasyonu düzeltmek ve bu bireyleri güvenli, kabul edilebilir glukoz aralığında tutabilmek için, diyabetik bireylerin Ramazan öncesi eğitimleri ve bilgilendirilmeleri gereklidir.

Anahtar Kelimeler

Ramazan, diyabet, hipoglisemi

Impact of fasting during Ramadan in patients with type 2 diabetes mellitus

Öz

Purpose: Fasting during Ramadan is a religious obligation for Muslims. Extended fasting can create undesirable acute complications of diabetes such as hypoglycemia or hyperglycemia. In this study, we aimed to evaluate the impact of fasting on glucose regulation in diabetic patients who fast during Ramadan.

Materials and Methods: Patients were informed about the possible side effects of fasting for them and those who stated that they will be fasting during Ramadan were called one month after Ramadan. In this retrospective cohort study by telephone interview, the number of fasting days,  daily measurements of glucose, the number of acute complications if existed and whether the patients  have changed their treatments were asked.

Results: Forty six patients were included in this study.  Mean age was 54.3±9.5 yr. The average fasting day was 25.24±2.4. They were categorized according to the risk stratifications. The number of hypoglycemic events was not higher than detected six months prior to the Ramadan. Most of the patients had hyperglycemia rather than hypoglycemia. All of the patients who had hypo-or hyperglycemia did not interrupt their fasting and did not change their medications. 

Conclusion: Patients who fasted during Ramadan have a tendency both hypoglycemia and hyperglycemia. To improve glycemic regulation and keep these patients in a safe and acceptable glucose range, Pre-Ramadan education is necessary.

Anahtar Kelimeler

Ramadan, diabetes, hypoglycemia

Kaynakça

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