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Blood Glucose Fluctuation During Ramadan Fasting in Adolescents With Type 1 Diabetes: Findings of Continuous Glucose Monitoring
Author(s) -
Walid Kaplan,
Bachar Afandi
Publication year - 2015
Publication title -
diabetes care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.636
H-Index - 363
eISSN - 1935-5548
pISSN - 0149-5992
DOI - 10.2337/dc15-1108
Subject(s) - medicine , continuous glucose monitoring , diabetes mellitus , type 2 diabetes , endocrinology , type 1 diabetes , fasting glucose , blood glucose self monitoring , insulin resistance
Because of the scant data about the effect of fasting on the blood glucose (BG) profile in adolescents with type 1 diabetes (T1D), health care providers have been giving conflicting advice about the feasibility of fasting during the month of Ramadan for this group of patients. This study was done in adolescents with T1D to assess the ability and safety of fasting during Ramadan and to monitor the BG profile with a continuous glucose monitor (CGM).Adolescents with T1D who intended to fast during the month of Ramadan in 2013 were asked to wear a CGM while fasting and to report any episode of severe hypoglycemia or diabetic ketoacidosis or emergency room visit. Pump basal rate was modified according to the eating pattern during Ramadan. The averages of all daily readings were calculated to express the BG values …

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