Diabetes Mellitus, Type 1 Clinical Trial
Official title:
Comparison of Two Health Education Modalities for Safe Ramadan Fasting in People With Type 1 Diabetes
Adult Muslims are obliged to start fasting during the month of Ramadan. Fasting entails
refraining from all food, drink, tablets and injections(vitamins & fluids) between sunrise
and sunset; a period which varies by geographical location and season.
People with type 1 Diabetes are among those who are risky to fast this holy month in the
Muslim faith and thus are exempted from fasting. Yet many patients fast in spite of medical
advice and religious exemption and for those patients, healthcare professionals should
provide the utmost care and continuous diabetes education.
Different diabetes education modalities exist like DSME (Diabetes self-management education
with proven efficacy. One modality is the Diabetes Conversation Map which delivers diabetes
education interactively through a series of maps that address different issues in diabetes
management and includes a specially designed Ramadan map.
In this study, two modalities of Diabetes focused Ramadan education will be compared
regarding aiding patients to fast Ramadan safely. One modality will be Diabetes conversation
maps and the other the International Diabetes Federation Education modules.
Adult Muslims are obliged to start fasting during the month of Ramadan. Fasting entails
refraining from all food, drink, tablets and injections(vitamins & fluids) between sunrise
and sunset; a period which varies by geographical location and season. Although exempt, many
diabetics refuse to take this concession as they feel psychologically & spiritually inclined
to fast along with other Muslims.
Fasting at Ramadan carries a very high risk for people with T1DM. This risk is particularly
exacerbated in poorly controlled patients and those with limited access to medical care,
hypoglycemic unawareness, unstable glycemic control, or recurrent hospitalizations.
Structured education interventions have been endorsed by the National Institute for Health
and Clinical Excellence as important in empowering patients to improve their jour¬ney with
diabetes. In a large observational study, patients who fasted during Ramadan without
attending a structured education session had a fourfold increase in hypoglycae¬mic events,
whereas those who attended an education pro¬gramme focusing on Ramadan had a significant
decrease in hypoglycemic events.
Conversation Map aims to help people with diabetes experience a healthier Ramadan. The
interactive Map covers a number of topics including understanding the risks and complications
of fasting and the importance of creating a diabetes management plan during this time.
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