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首页> 外文期刊>Therapeutic advances in endocrinology and metabolism. >Diabetes education and medication adjustment in Ramadan (DEAR) program prepares for self-management during fasting with tele-health support from pre-Ramadan to post-Ramadan
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Diabetes education and medication adjustment in Ramadan (DEAR) program prepares for self-management during fasting with tele-health support from pre-Ramadan to post-Ramadan

机译：斋月（DEAR）计划中的糖尿病教育和药物调整为斋戒期间的自我管理做准备，并在斋月之前到斋月之后提供远程医疗支持

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We evaluated the outcome for fasting Muslims with diabetes prepared with pre-Ramadan optimization through education and medication adjustment, tele-support and intervention up to post-Ramadan. Muslims with diabetes planning to fast were recruited into a focused diabetes program for Ramadan fasting. It consisted of (a) a pre-Ramadan assessment and test fasting to optimize glycemic control, (b) education on diabetes management during fasting, (c) tele-monitoring from pre-Ramadan and (d) a post-Ramadan review. Their metabolic profiles and diaries for meals, activities and glucose monitoring were evaluated. Twenty-nine participants were enrolled, with mean age 58.4 ± 9.2 years, 75.9% female, 79.3% Malays and 93.1% type 2 diabetes. A total of 92% needed medication adjustment and 93% fasted for at least 14 days. Glycated hemoglobin (HbA1c) and weight decreased from 8.8 ± 1.8% (72.7 mmol/mol) pre-Ramadan to 8.5 ± 1.7% (69.4 mmol/mol) post-Ramadan and 76.6 ± 20.3 kg pre-Ramadan to 75.9 ± 21.3 kg post-Ramadan, respectively. There were decreased complications of hypoglycemia from 13.8% to 10.3% and several-fold improvement in hyperglycemia from 31.0% to 3.5% during Ramadan fasting when compared with pre-Ramadan. Muslims with diabetes were able to self-manage when fasting using tele-monitoring support and intervention, with decreased complications during Ramadan compared with pre-Ramadan.
机译：我们通过教育和药物调整，远程支持和干预直至斋月之后，评估了斋月前通过优化斋戒而准备的禁食穆斯林的结果。计划斋戒的穆斯林被招募到斋月斋戒的重点糖尿病项目中。它由（a）斋月前的评估和禁食测试以优化血糖控制，（b）禁食期间的糖尿病管理教育，（c）斋月前的远程监测和（d）斋月后的回顾组成。他们的膳食，活动和血糖监测的代谢概况和日记进行了评估。共有29名参与者参加，平均年龄58.4±9.2岁，女性75.9％，马来人79.3％，2型糖尿病93.1％。共有92％的人需要调整药物治疗，而93％的人禁食至少14天。糖化血红蛋白（HbA1c）和重量从斋月前的8.8±1.8％（72.7 mmol / mol）降至斋月后的8.5±1.7％（69.4 mmol / mol）和斋月前的76.6±20.3 kg降至75.9±21.3 kg -斋月分别。与斋月之前相比，斋月期间的低血糖并发症从13.8％降低到10.3％，高血糖从31.0％降低到3.5％几倍。患有糖尿病的穆斯林在斋戒时可以使用远程监控支持和干预措施进行自我管理，与斋月相比，斋月期间并发症的发生率有所降低。

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