Management of diabetes during fasting and COVID-19 - Challenges and solutions.
Identifieur interne : 000120 ( Main/Exploration ); précédent : 000119; suivant : 000121Management of diabetes during fasting and COVID-19 - Challenges and solutions.
Auteurs : Waseem N. Ahmed [Inde] ; Chankramath S. Arun [Inde] ; Thanuvelil G. Koshy [Inde] ; Abilash Nair [Inde] ; Prasanth Sankar [Inde] ; Sabeer A. Rasheed [Inde] ; Reeja Ann [Inde]Source :
- Journal of family medicine and primary care [ 2249-4863 ] ; 2020.
Abstract
Introduction
Fasting is observed as a religious custom in various forms across the globe. Among them, the Ramadan fasting is very common and widely practiced. People with diabetes observe fasting with or without obtaining medical advice. Uncontrolled diabetes appears to be a risk factor for COVID-19 infection and its poorer outcomes. Fasting during Ramadan is challenging in people with diabetes. This year, the background of COVID-19 made it difficult for both the patients and health care workers to effectively manage diabetes and its complications during Ramadan. Because of a lack of sufficient evidence, clinicians were perplexed in handling this difficult situation.
Materials and Methods
We accessed PubMed, Google Scholar, various guidelines and other evidence-based articles to review the available current literature which deals with diabetes, Ramadan, and COVID-19.
Results
The importance of pre-Ramadan assessment, adequate nutrition, and hydration, choosing the right therapy has been emphasized. This review tries to address the common practical challenges and relevant possible solutions for the same. Due consideration has been given to various socio-cultural practices that can influence the management of diabetes patients in the setting of Ramadan and COVID-19 pandemic.
Conclusions
Diabetes is associated with increased severity and susceptibility to COVID-19. People with diabetes should go through systemic and structure-based management during fasting. Family physicians who deliver personalized care play a vital role in managing diabetes during this crisis period. Telemedicine is emerging as an effective mode of managing various needs of individuals.
DOI: 10.4103/jfmpc.jfmpc_845_20
PubMed: 33110770
PubMed Central: PMC7586529
Affiliations:
Links toward previous steps (curation, corpus...)
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Ahmed</name><affiliation wicri:level="1"><nlm:affiliation>Department of Family and Internal Medicine, CRAFT Hospital and Research Centre, Kodungallur, Thrissur, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Family and Internal Medicine, CRAFT Hospital and Research Centre, Kodungallur, Thrissur, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Arun, Chankramath S" sort="Arun, Chankramath S" uniqKey="Arun C" first="Chankramath S" last="Arun">Chankramath S. Arun</name><affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Endocrinology, Amrita Institute of Medical Sciences, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Koshy, Thanuvelil G" sort="Koshy, Thanuvelil G" uniqKey="Koshy T" first="Thanuvelil G" last="Koshy">Thanuvelil G. Koshy</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, MOSC (Malankara Orthodox Syrian Church Medical College), Kolencherry, Ernakulam, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Medicine, MOSC (Malankara Orthodox Syrian Church Medical College), Kolencherry, Ernakulam, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Nair, Abilash" sort="Nair, Abilash" uniqKey="Nair A" first="Abilash" last="Nair">Abilash Nair</name><affiliation wicri:level="1"><nlm:affiliation>Department of Endocrinology, Govt. Medical College, Thiruvananthapuram, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Endocrinology, Govt. Medical College, Thiruvananthapuram, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Sankar, Prasanth" sort="Sankar, Prasanth" uniqKey="Sankar P" first="Prasanth" last="Sankar">Prasanth Sankar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine and Diabetes, MGM Muthoot Hospitals, Pathanamthitta, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Internal Medicine and Diabetes, MGM Muthoot Hospitals, Pathanamthitta, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Rasheed, Sabeer A" sort="Rasheed, Sabeer A" uniqKey="Rasheed S" first="Sabeer A" last="Rasheed">Sabeer A. Rasheed</name><affiliation wicri:level="1"><nlm:affiliation>Dr Rasheed's Diabetic Specialty Center, Thiruvananthapuram, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Dr Rasheed's Diabetic Specialty Center, Thiruvananthapuram, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Ann, Reeja" sort="Ann, Reeja" uniqKey="Ann R" first="Reeja" last="Ann">Reeja Ann</name><affiliation wicri:level="1"><nlm:affiliation>Medical Officer, Govt Taluk Hospital, North Paravur, Ernakulam, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Medical Officer, Govt Taluk Hospital, North Paravur, Ernakulam, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of family medicine and primary care</title><idno type="ISSN">2249-4863</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Introduction</b></p><p>Fasting is observed as a religious custom in various forms across the globe. Among them, the Ramadan fasting is very common and widely practiced. People with diabetes observe fasting with or without obtaining medical advice. Uncontrolled diabetes appears to be a risk factor for COVID-19 infection and its poorer outcomes. Fasting during Ramadan is challenging in people with diabetes. This year, the background of COVID-19 made it difficult for both the patients and health care workers to effectively manage diabetes and its complications during Ramadan. Because of a lack of sufficient evidence, clinicians were perplexed in handling this difficult situation.</p></div><div type="abstract" xml:lang="en"><p><b>Materials and Methods</b></p><p>We accessed PubMed, Google Scholar, various guidelines and other evidence-based articles to review the available current literature which deals with diabetes, Ramadan, and COVID-19.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>The importance of pre-Ramadan assessment, adequate nutrition, and hydration, choosing the right therapy has been emphasized. This review tries to address the common practical challenges and relevant possible solutions for the same. Due consideration has been given to various socio-cultural practices that can influence the management of diabetes patients in the setting of Ramadan and COVID-19 pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>Diabetes is associated with increased severity and susceptibility to COVID-19. People with diabetes should go through systemic and structure-based management during fasting. Family physicians who deliver personalized care play a vital role in managing diabetes during this crisis period. Telemedicine is emerging as an effective mode of managing various needs of individuals.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33110770</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>29</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2249-4863</ISSN><JournalIssue CitedMedium="Print"><Volume>9</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Journal of family medicine and primary care</Title><ISOAbbreviation>J Family Med Prim Care</ISOAbbreviation></Journal><ArticleTitle>Management of diabetes during fasting and COVID-19 - Challenges and solutions.</ArticleTitle><Pagination><MedlinePgn>3797-3806</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/jfmpc.jfmpc_845_20</ELocationID><Abstract><AbstractText Label="Introduction" NlmCategory="UNASSIGNED">Fasting is observed as a religious custom in various forms across the globe. Among them, the Ramadan fasting is very common and widely practiced. People with diabetes observe fasting with or without obtaining medical advice. Uncontrolled diabetes appears to be a risk factor for COVID-19 infection and its poorer outcomes. Fasting during Ramadan is challenging in people with diabetes. This year, the background of COVID-19 made it difficult for both the patients and health care workers to effectively manage diabetes and its complications during Ramadan. Because of a lack of sufficient evidence, clinicians were perplexed in handling this difficult situation.</AbstractText><AbstractText Label="Materials and Methods" NlmCategory="UNASSIGNED">We accessed PubMed, Google Scholar, various guidelines and other evidence-based articles to review the available current literature which deals with diabetes, Ramadan, and COVID-19.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">The importance of pre-Ramadan assessment, adequate nutrition, and hydration, choosing the right therapy has been emphasized. This review tries to address the common practical challenges and relevant possible solutions for the same. Due consideration has been given to various socio-cultural practices that can influence the management of diabetes patients in the setting of Ramadan and COVID-19 pandemic.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">Diabetes is associated with increased severity and susceptibility to COVID-19. People with diabetes should go through systemic and structure-based management during fasting. Family physicians who deliver personalized care play a vital role in managing diabetes during this crisis period. Telemedicine is emerging as an effective mode of managing various needs of individuals.</AbstractText><CopyrightInformation>Copyright: © 2020 Journal of Family Medicine and Primary Care.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ahmed</LastName><ForeName>Waseem N</ForeName><Initials>WN</Initials><AffiliationInfo><Affiliation>Department of Family and Internal Medicine, CRAFT Hospital and Research Centre, Kodungallur, Thrissur, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arun</LastName><ForeName>Chankramath S</ForeName><Initials>CS</Initials><AffiliationInfo><Affiliation>Department of Endocrinology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koshy</LastName><ForeName>Thanuvelil G</ForeName><Initials>TG</Initials><AffiliationInfo><Affiliation>Department of Medicine, MOSC (Malankara Orthodox Syrian Church Medical College), Kolencherry, Ernakulam, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nair</LastName><ForeName>Abilash</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Endocrinology, Govt. Medical College, Thiruvananthapuram, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sankar</LastName><ForeName>Prasanth</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine and Diabetes, MGM Muthoot Hospitals, Pathanamthitta, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rasheed</LastName><ForeName>Sabeer A</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Dr Rasheed's Diabetic Specialty Center, Thiruvananthapuram, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ann</LastName><ForeName>Reeja</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Medical Officer, Govt Taluk Hospital, North Paravur, Ernakulam, Kerala, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>J Family Med Prim Care</MedlineTA><NlmUniqueID>101610082</NlmUniqueID><ISSNLinking>2249-4863</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">India</Keyword><Keyword MajorTopicYN="N">Ramadan</Keyword><Keyword MajorTopicYN="N">diabetes</Keyword><Keyword MajorTopicYN="N">fasting</Keyword><Keyword MajorTopicYN="N">primary care physician</Keyword></KeywordList><CoiStatement>There are no conflicts of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>10</Month><Day>28</Day><Hour>5</Hour><Minute>41</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33110770</ArticleId><ArticleId IdType="doi">10.4103/jfmpc.jfmpc_845_20</ArticleId><ArticleId IdType="pii">JFMPC-9-3797</ArticleId><ArticleId IdType="pmc">PMC7586529</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Family Med Prim Care. 2017 Jan-Mar;6(1):11-18</Citation><ArticleIdList><ArticleId IdType="pubmed">29026740</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet Diabetes Endocrinol. 2020 Jun;8(6):546-550</Citation><ArticleIdList><ArticleId IdType="pubmed">32334646</ArticleId></ArticleIdList></Reference><Reference><Citation>Diabetes Res Clin Pract. 2020 Apr;162:108132</Citation><ArticleIdList><ArticleId IdType="pubmed">32234504</ArticleId></ArticleIdList></Reference><Reference><Citation>Cell Metab. 2020 Jun 2;31(6):1068-1077.e3</Citation><ArticleIdList><ArticleId IdType="pubmed">32369736</ArticleId></ArticleIdList></Reference><Reference><Citation>Diabetes Res Clin Pract. 2017 Apr;126:303-316</Citation><ArticleIdList><ArticleId IdType="pubmed">28347497</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 Aug 20;383(8):789-790</Citation><ArticleIdList><ArticleId IdType="pubmed">32530585</ArticleId></ArticleIdList></Reference><Reference><Citation>Diabetes Care. 2020 Jan;43(Suppl 1):S66-S76</Citation><ArticleIdList><ArticleId IdType="pubmed">31862749</ArticleId></ArticleIdList></Reference><Reference><Citation>Diabetes Metab Syndr. 2020 May - 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