Objective: To identify patient practices and knowledge pertaining to Ramadan fasting and to see whether physicians wereproviding adequate counselling and adjusting medications accordingly.Methods: The cross-sectional study was conducted at the Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from June to August 2018, and comprised diabetic patients who fasted during Ramadan. A questionnaire was designed to assess patients’ knowledge, risk category, pre-Ramadan counselling, medication adjustment, lifestyle changes, pre- and post- Ramadan glycated haemoglobin levels, and complications during Ramadan. Data was analysed using SPSS 23. Results: Out of 272 diabetics, 176(64.7%) were females. Mean number of fasts kept were 22±10.61. Pre-Ramadan 120(44.1%)patients consulted their physicians and 105(87.5%) of them received relevant counselling. Medications were adjusted inonly 30 (25%) such cases. Overall, 41(15.1%) patients were in the high-risk category, while 109(40.1%) and 122(44.9%) werein the moderate and low-risk categories. During the month, 17(6.25%) were hospitalised due to diabetes-relatedcomplications. Glycated haemoglobin levels fell significantly (p<0.0001).Conclusion: Anomalous patient behaviours and suboptimal physician practices were noticed.
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Syed et al. (2022) studied this question.