Syed Sheraz Jamal.
Effects of ramadan fasting on glycemic control in Type 2 Diabetes Mellites.
J Postgrad Med Inst Jan ;22(1):17-20.

Objective: To evaluate the effects of “Ramadan” on long and short terms glycaemic control in patients with type 2 Diabetes Mellitus. Material and Methods: This observational study was conducted on 50 patients with type 2 diabetes mellitus at District Teaching Hospital, Dera Ismail Khan from August 15, 2007 to November 15, 2007. Before and after Ramadan blood samples were taken early in the morning and during Ramadan in late after noon. Detailed clinical assessment was done one month before Ramadan, in 4th week of Ramadan and one month after Ramadan. Fasting blood sugar and HBA1C were taken as variables for short and long term control of Diabetes respectively. Results: Pre-Ramadan fasting blood sugar ranged 98 - 282 mg/dl with a mean of 190 + 48 mg/dl. At 4th week of Ramadan Fasting blood sugar ranged 110 - 215 mg/dl with a mean of 148 + 28 mg/dl. Post Ramadan fasting blood sugar ranged 112 - 199 mg/dl with a mean value of 146 + 22.7 mg/dl. Pre Ramadan HB A1C ranged 6.0 - 11.6% with a mean value of 8.2 + 1.3%, at 4th week of Ramadan HB A1c ranged 6.0 10.0% with a mean value of 7.6 + 1.1 % and post Ramadan it ranged 5.5 - 10.0% with a mean value of 7.1%. Conclusion: The effects of fasting in Ramadan on Glycaemic control in type 2 Diabetes Mellitus is favourable both during and after Ramadan. Fasting may be favourable for short term and long term glycaemic control.

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