Dataset Information


The DAR 2020 Global survey : Ramadan fasting during COVID 19 pandemic and the impact of older age on fasting among adults with Type 2 diabetes.



The DAR Global surveyof Ramadan-fasting during the COVID-19 pandemic aimed to describe the characteristics and care in participants with type 2 diabetes (T2D)with a specific comparison between those < 65years and>65 years.


Participantswere consented to answer aphysician-administered questionnairefollowing Ramadan 2020. Impact of COVID-19 on the decision of fasting,intentions to fast and duration of Ramadan and Shawalfasting, hypoglycaemia and hyperglycaemia eventswere assessed. Specific analysis comparing age categories of <65 years and>65years were performed.


Among the 5865 participants, 22.5% were>65 years old. Concern for COVID-19 affected fasting decisionfor 7.6% (> 65years) vs 5.4% (<65years). More participants >65 years old did not fast (28.8% vs 12.7%,<65 years). Of the 83.6%, participantsfulfillingRamadan-fasting, 94.8%fasted >15 days and 12.6% had to break fast due to diabetes-related illness.The average number of days fasting within and post-Ramadan were 27 and 6 days respectively, regardless of age. Hypoglycaemia and hyperglycaemia occurred in 15.7% and 16.3% of participants respectively,with 6.5% and 7.4% requiringhospital care respectively. SMBGwas performed in 73.8% of participants and 43.5% received Ramadan-focused education.


During the COVID-19 pandemic, universally high rates of Ramadan-fasting were observedregardless of fasting risk level.Glycemic complications occurred frequently witholder adults requiring higher rates of acute hospital care. Risk stratification is essential followed bypre-Ramadan interventions, Ramadan-focused diabetes education and self-monitoringto reduce and prevent complications, with particular emphasis in older adults.

SUBMITTER: Hassanein M 

PROVIDER: S-EPMC7826018 | BioStudies | 2021-01-01

REPOSITORIES: biostudies

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