A.B.M. Kamrul-Hasan , Muhammad Shah Alam , Md. Ahamedul Kabir , Sumon Rahman Chowdhury , Muhammad Abdul Hannan , Emran Ur Rashid Chowdhury , Md. Mainul Ahsan , Choman Abdullah Mohana , Mohammad Hasan Iftekhar , Mohammad Jahid Hasan , Samir Kumar Talukder
{"title":"使用2021年IDF-DAR风险计算器的风险分层和孟加拉国2型糖尿病受试者斋月期间的禁食经历:DAR-BAN研究","authors":"A.B.M. Kamrul-Hasan , Muhammad Shah Alam , Md. Ahamedul Kabir , Sumon Rahman Chowdhury , Muhammad Abdul Hannan , Emran Ur Rashid Chowdhury , Md. Mainul Ahsan , Choman Abdullah Mohana , Mohammad Hasan Iftekhar , Mohammad Jahid Hasan , Samir Kumar Talukder","doi":"10.1016/j.jcte.2023.100315","DOIUrl":null,"url":null,"abstract":"<div><h3>Aims</h3><p>To risk-stratify patients with type 2 diabetes mellitus (T2DM) according to the IDF-DAR 2021 guidelines and observe their responsiveness to risk-category-based recommendations and fasting experience.</p></div><div><h3>Methods</h3><p>This prospective study, conducted in the <em>peri</em>-Ramadan period of 2022, evaluated adults with T2DM and categorized them using the IDF-DAR 2021 risk stratification tool. Recommendations for fasting according to the risk categories were made, their intention to fast was recorded, and follow-up data were collected within one month of the end of Ramadan.</p></div><div><h3>Results</h3><p>Among 1328 participants (age 51.1 ± 11.9 years, female 61.1 %), only 29.6 % had pre-Ramadan HbA1c < 7.5 %. According to the IDF-DAR risk category, the frequencies of participants in the low-risk (should be able to fast), moderate-risk (not to fast), and high-risk (should not fast) groups were 44.2 %, 45.7 %, and 10.1 %, respectively. Most (95.5 %) intended to fast, and 71 % fasted the full 30 days of Ramadan. The overall frequencies of hypoglycemia (3.5 %) and hyperglycemia (2.0 %) were low. Hypoglycemia and hyperglycemia risks were 3.74-fold and 3.86-fold higher in the high-risk group than in the low-risk group.</p></div><div><h3>Conclusion</h3><p>The new IDF-DAR risk scoring system seems conservative in the risk categorization of T2DM patients in terms of fasting complications.</p></div>","PeriodicalId":46328,"journal":{"name":"Journal of Clinical and Translational Endocrinology","volume":"31 ","pages":"Article 100315"},"PeriodicalIF":4.2000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/16/main.PMC9969239.pdf","citationCount":"0","resultStr":"{\"title\":\"Risk stratification using the 2021 IDF-DAR risk calculator and fasting experience of Bangladeshi subjects with type 2 diabetes in Ramadan: The DAR-BAN study\",\"authors\":\"A.B.M. Kamrul-Hasan , Muhammad Shah Alam , Md. Ahamedul Kabir , Sumon Rahman Chowdhury , Muhammad Abdul Hannan , Emran Ur Rashid Chowdhury , Md. Mainul Ahsan , Choman Abdullah Mohana , Mohammad Hasan Iftekhar , Mohammad Jahid Hasan , Samir Kumar Talukder\",\"doi\":\"10.1016/j.jcte.2023.100315\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aims</h3><p>To risk-stratify patients with type 2 diabetes mellitus (T2DM) according to the IDF-DAR 2021 guidelines and observe their responsiveness to risk-category-based recommendations and fasting experience.</p></div><div><h3>Methods</h3><p>This prospective study, conducted in the <em>peri</em>-Ramadan period of 2022, evaluated adults with T2DM and categorized them using the IDF-DAR 2021 risk stratification tool. Recommendations for fasting according to the risk categories were made, their intention to fast was recorded, and follow-up data were collected within one month of the end of Ramadan.</p></div><div><h3>Results</h3><p>Among 1328 participants (age 51.1 ± 11.9 years, female 61.1 %), only 29.6 % had pre-Ramadan HbA1c < 7.5 %. According to the IDF-DAR risk category, the frequencies of participants in the low-risk (should be able to fast), moderate-risk (not to fast), and high-risk (should not fast) groups were 44.2 %, 45.7 %, and 10.1 %, respectively. Most (95.5 %) intended to fast, and 71 % fasted the full 30 days of Ramadan. The overall frequencies of hypoglycemia (3.5 %) and hyperglycemia (2.0 %) were low. Hypoglycemia and hyperglycemia risks were 3.74-fold and 3.86-fold higher in the high-risk group than in the low-risk group.</p></div><div><h3>Conclusion</h3><p>The new IDF-DAR risk scoring system seems conservative in the risk categorization of T2DM patients in terms of fasting complications.</p></div>\",\"PeriodicalId\":46328,\"journal\":{\"name\":\"Journal of Clinical and Translational Endocrinology\",\"volume\":\"31 \",\"pages\":\"Article 100315\"},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2023-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/16/main.PMC9969239.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical and Translational Endocrinology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214623723000030\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical and Translational Endocrinology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214623723000030","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
Risk stratification using the 2021 IDF-DAR risk calculator and fasting experience of Bangladeshi subjects with type 2 diabetes in Ramadan: The DAR-BAN study
Aims
To risk-stratify patients with type 2 diabetes mellitus (T2DM) according to the IDF-DAR 2021 guidelines and observe their responsiveness to risk-category-based recommendations and fasting experience.
Methods
This prospective study, conducted in the peri-Ramadan period of 2022, evaluated adults with T2DM and categorized them using the IDF-DAR 2021 risk stratification tool. Recommendations for fasting according to the risk categories were made, their intention to fast was recorded, and follow-up data were collected within one month of the end of Ramadan.
Results
Among 1328 participants (age 51.1 ± 11.9 years, female 61.1 %), only 29.6 % had pre-Ramadan HbA1c < 7.5 %. According to the IDF-DAR risk category, the frequencies of participants in the low-risk (should be able to fast), moderate-risk (not to fast), and high-risk (should not fast) groups were 44.2 %, 45.7 %, and 10.1 %, respectively. Most (95.5 %) intended to fast, and 71 % fasted the full 30 days of Ramadan. The overall frequencies of hypoglycemia (3.5 %) and hyperglycemia (2.0 %) were low. Hypoglycemia and hyperglycemia risks were 3.74-fold and 3.86-fold higher in the high-risk group than in the low-risk group.
Conclusion
The new IDF-DAR risk scoring system seems conservative in the risk categorization of T2DM patients in terms of fasting complications.