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Mohamed Ismail, Nor Azlin, Olaide Raji, Hadijat, Abd Wahab, Norashikin, Mustafa, Norlaila, Kamaruddin, Nor Azmi, Abdul Jamil, Muhammad. (1390). Glycemic Control among Pregnant Diabetic Women on Insulin Who Fasted During Ramadan. سامانه مدیریت نشریات علمی, 36(4), 254-259.
Nor Azlin Mohamed Ismail; Hadijat Olaide Raji; Norashikin Abd Wahab; Norlaila Mustafa; Nor Azmi Kamaruddin; Muhammad Abdul Jamil. "Glycemic Control among Pregnant Diabetic Women on Insulin Who Fasted During Ramadan". سامانه مدیریت نشریات علمی, 36, 4, 1390, 254-259.
Mohamed Ismail, Nor Azlin, Olaide Raji, Hadijat, Abd Wahab, Norashikin, Mustafa, Norlaila, Kamaruddin, Nor Azmi, Abdul Jamil, Muhammad. (1390). 'Glycemic Control among Pregnant Diabetic Women on Insulin Who Fasted During Ramadan', سامانه مدیریت نشریات علمی, 36(4), pp. 254-259.
Mohamed Ismail, Nor Azlin, Olaide Raji, Hadijat, Abd Wahab, Norashikin, Mustafa, Norlaila, Kamaruddin, Nor Azmi, Abdul Jamil, Muhammad. Glycemic Control among Pregnant Diabetic Women on Insulin Who Fasted During Ramadan. سامانه مدیریت نشریات علمی, 1390; 36(4): 254-259.

Glycemic Control among Pregnant Diabetic Women on Insulin Who Fasted During Ramadan

Iranian Journal of Medical Sciences
مقاله 2، دوره 36، شماره 4، اسفند 2011، صفحه 254-259    اصل مقاله (180.2 K)
نوع مقاله: Original Article(s)
نویسندگان
Nor Azlin Mohamed Ismail* 1؛ Hadijat Olaide Raji1؛ Norashikin Abd Wahab2؛ Norlaila Mustafa2؛ Nor Azmi Kamaruddin2؛ Muhammad Abdul Jamil1
1Department of Obstetrics and Gynae-cology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
2Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
چکیده
Background: Ramadan fasting for pregnant women with diabetes remains controversial and underreported. The objective of this study was to determine the glycemic control in pregnant diabetic women on insulin who fasted during Ramadan.
Methods: This was a retrospective study carried out over a period of three years including pregnant diabetic women, who were on short-acting, intermediate-acting, or a combination of them, and opted to carry out Ramadan fasting. Glycemic control was assessed before, middle and after Ramadan fasting.
Results: Thirty seven women opted to fast with 24 (64.9%) of them had type 2 diabetes mellitus and 83.8% of them required combined insulin (short- acting, intermediate-acting) therapy. The age of the participants was 32.13±4.68 years, and the age of their pregnancies was 25.60±7.12 weeks when the study was performed. The median number of days fasted was 25 days, and most of the women were able to fast for more than 15 days. There was no difference between glycemic control of type 2 diabetes mellitus and gestational diabetes mellitus women prior to fasting. In the middle of Ramadan, serum fructosamine decreased in both groups. How-ever, only serum HbA1c reduced in gestational diabetes mellitus after Ramadan.
Conclusion: the findings indicate that pregnant diabetic women on insulin were able to fast during Ramadan and that their glycemic control was improved during fasting period. They may also suggest that instead of absolute ban on fasting for pregnant diabetic women more practical approach and close consultation with health care providers might be more helpful.
کلیدواژه‌ها
Fasting؛ insulin؛ diabetes؛ pregnancy؛ gestational diabetes
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