Endocrine Abstracts

Ramadan is a holy month in the Muslim religion, it involves a period of daily fasting from sunrise to sunset, which means an average of fifteen hours of fasting during the day (twelve to eighteen hours depending on seasons and regions). In diabetics, this involves metabolic disorders related to fasting, food mode (quantitative and qualitative change in dietary intake). The objective of our study is to define the profile of diabetic patients seen in the emergency department and referred to the endocrinology, diabetology unit of Mohammed VI university hospital of Marrakech.

Patients and Methods: It’s about an observational and descriptive study which takes place from May 7th to June 6th 2019, first in the emergency department then in the endocrinology, diabetology unit when patients are referred to. Our population of study is about type 1 and type 2 diabetics, with a duration of fasting from a few hours to fifteen hours a day. The variables studied: a month before and during the month of Ramadan (age, sex, type of diabetes, duration of evolution, anti diabetic treatment, fasting, type of metabolic emergency,complications and comorbidities of diabetes mellitus).

Discussion: 2 times more hospitalizations during Ramadan than before.

• Hyperglycemia with or without ketosis: the most frequent decompensation, the frequency of hypoglycemia isweak;

• 22% of T1D fasted more ketosis pdt Ramadan hypoglycaemia

• 53% of T2D fasted: same frequency of hyperglycemia and ketosis but more hypoglycaemia during Ramadan,; 2 times more patients on sulfonamides consulted during Ramadan.

– HYPERGLYCEMIA: excessive and unjustified discontinuation or reduction of insulin doses and/or ADO; non adherence to dietary instructions, increased calorie intake and in fast sugars? 2 to 3 meals in the space of 8 hours between ftour and shour, snacking…

– HYPOGLYCEMIA: the periods of low blood sugar are often asymptomatic so underestimatedduring Ramadan.