Faika Ben mami, Tunisia
Dr. INNTA CPresenter of 1 Presentation
ACUTE METABOLIC COMPLICATIONS DURING THE FAST OF THE MONTH OF RAMADAN
Abstract
Background and Aims
The results reported by the literature regarding the frequency and characteristics of acute metabolic complications during fasting in Ramadan are discordant. The objective of our study was to characterize these complications during fasting.
Methods
This is a prospective study that involved 140 patients who wish to fast the month of Ramadan, organized at the Tunis National Institute of Nutrition (C departement). These patients were given an interview, a thorough clinical examination and a biological assessment and were well informed about the risks they face. They had the appropriate therapeutic adaptation (recommendations of the ADA 2016) , as well as an adequate hygiene and dietary education. We have totally banned fasting for unbalanced patients.
Results
The average number of days fasted was 24.57 ± 10.5 days. Diabetes were poorly balanced in 71% of cases. The overall frequency of hypoglycaemia during fasting was 12.1% (n=17). The hyperglycaemia was 11.4% (n =16). No other metabolic complication (ketoacidosis, hyperosmolar coma) has occurred. No patient had been hospitalized. Hypoglycaemia was significantly more frequent in subjects who had hypoglycaemia before fasting (33.3%, 8.4%, p = 0.005). It wes significantly more frequent in patients at high and very high risk (16.2% versus 2.4%) (p = 0.017) with a risk multiplied by 7.71. Hyperglycemia was more frequent in high and very high risk patients, but with no statistically significant difference.
Conclusions
The frequency of acute complications was low thanks to therapeutic adaptation and prior education.