Evidence map›Paper›PMID 32308453›Full record

ArticleDiabetes, metabolic syndrome and obesity : targets and therapy2020

Self-Monitoring of Blood Glucose and Hypoglycemia Association During Fasting in Ramadan Among Patients with Diabetes.

Deyaa Mansouri, Ebtehal Khayat, Mohannad Khayat, Muteb Aboawja, Areej Aseeri, Faisal Banah, Khulood Alsiary, Lama Abdulaziz Rammal, Adel D Almalki, Mohammed Hasaballah

Open access · goldAbstract read
In one paragraph

Article in Diabetes, metabolic syndrome and obesity : targets and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 2 countries.

Deyaa MansouriHera General Hospital, Mecca, Saudi Arabia.ORCID 0000-0001-6886-6327
Ebtehal KhayatJoint Program of Family Medicine, Mecca, Saudi Arabia.
Mohannad KhayatJoint Program of Community Medicine, Mecca, Saudi Arabia.
Muteb AboawjaKing Faisal Medical City, Abha, Saudi Arabia.
Areej AseeriKing Fahad Military Medical Complex, Dhahran, Saudi Arabia.
Faisal BanahArmed Hospital Southen Rigon, KhamisMushait, Saudi Arabia.
Khulood AlsiaryKing Abdulaziz Medical City, Jeddah, Saudi Arabia.ORCID 0000-0002-3715-1107
Lama Abdulaziz RammalKing Abdulaziz Medical City, Jeddah, Saudi Arabia.ORCID 0000-0001-5966-7318
Adel D AlmalkiKing Salman Bin Abdulaziz Hospital, Riyadh, Saudi Arabia.
Mohammed HasaballahKing Faisal Hospital, Mecca, Saudi Arabia.
King Abdulaziz Medical City · SAArmed Forces Hospital · SACommunity Hospital · USHera General Hospital · SAKing Abdulaziz Hospital · SAKing Fahd Medical City · SAKing Fahd Military Medical Complex · SASaad Specialist Hospital · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aims to assess current practices of patients with diabetes to control blood glucose levels during Ramadan. PATIENTS AND

methodsA cross-sectional approach has been used for collecting data through a structured and interview-based questionnaire to assess the association between self-monitoring of blood glucose (SMBG) and hypoglycemia. The questionnaire has recorded information about demographics, duration of diabetes, and treatment of diabetes, and hypoglycemia complications faced during Ramadan. The primary outcomes of this study include frequency of SMBG during fasting in Ramadan and association of SMBG and hypoglycemia and break of fasting. However, the secondary outcomes include medications, glycemic control, and other influencing factors. The data was analyzed using Statistical Package of Social Sciences (SPSS) version 20.

resultsThe findings have shown that the majority of the patients used a combination of metformin+sulphonylurea (23.02%) following metformin+insulin (20.86%), insulin (12.94%), and metformin (8.63%). Whereas diet control, high or low blood sugar, insulin dose adjustment in fasting conditions were the most influential factors during Ramadan when the blood sugar levels were tested. Majority of the patients monitored their blood glucose level during pre-iftar (56.8%) following to hypoglycemia (30.2%), post-iftar (29.4%), and rarely monitored in afternoon (3.5%) despite that only 10.1% monitored their blood glucose on a daily basis. Patients who had symptoms of hypoglycemia and had to break their fasting at least once were 41% and 27.2%, respectively. There is a significant association between age and gender with symptoms of low blood sugar level. Additionally, a significant association between blood sugar monitoring and high blood sugar level has been shown (

conclusionThe present study has helped in providing better understanding about the self-monitoring of blood glucose level and hypoglycemia. Furthermore, it also emphasizes the pre-Ramadan education about when to break their fasting along with frequency and timing of SMBG.

Indexed as

glycemic controlinsulinmedicationmetforminsulphonylurea

Identifiers

PMID32308453
PMCPMC7147609
OpenAlexW3014366988

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.