الفهرس 
R AMADAN F ASTING AND T YPE 1 D.MOnly 14 pages are availabe for public view
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Abstract
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. Children, elderly people, travelers, pregnant or nursing women and unhealthy individuals are exempt from fasting. Although exempt, many diabetics refuse to take this concession as they feel psychologically & spiritually inclined to fast along with other Muslims.
This study aimed to compare between two modalities of diabetes education programs on safety & efficacy of them in safe Ramadan fasting in people with T1DM. It was conducted on 60 Type 1 diabetic patients intended to fast Ramadan 2017. All participants (60 subjects) received a basic health education program which was based on Diabetes conversational MAP (Living with diabetes), then participants were subdivided into 2 equal groups each of 30 subjects: group 1 received Modified IDF health education program for Ramadan fasting (IDF group). group 2 received Ramadan Conversational MAPS (MAPS group). All patients underwent full history taking, full clinical examination and biochemical tests including FBG, 2h PPBG, HbA1c and fructosamine.
There had been significant reduction (P-value<0.001) in attacks of hypoglycemia during Ramadan 2017 by 75% in IDF group and 66.6% in MAPS group. Also highly significant reduction in basal insulin doses by 26.8% in IDF group and 27.3% in MAPS group. Similarly there was significant reduction in bolus insulin doses by 35.7% in IDF group and 33% in MAPS group. Regarding no. of successful fasting days, there was significant increase in Ramadan 2017 was found. Also regarding FBS, there were significant reduction in FBS before & during Ramadan, before & after Ramadan in both study groups and during & after Ramadan in IDF group. Similarly 2hrsPPBG, there were significant reduction in 2hrsPPBG before & during Ramadan and before & after Ramadan in both study groups. Serum fructosamine showed non-significant reduction between before & after Ramadan fasting. As regard weight, BMI, systolic and diastolic blood pressure, there were significant decrease in weight & BMI between before and after Ramadan fasting in both study groups.
Health education make Ramadan fasting more safe in those patients with type-I diabetes whatever the method of education