DAR-GRACE: Diabetes and Ramadan: glycaemic control, physician counselling and patient practices –experience from a tertiary care hospital in Pakistan Authors Fibhaa Syed Department of General Medicine, Pakistan Institute of Medical Sciences, Islamabad, Pakistan Mohammad Ali Arif Pakistan Institute of Medical Sciences (PIMS), Islamabad , Pakistan Adil Ramzan Department of General Medicine, Pakistan Institute of Medical Sciences, Islamabad, Pakistan Rauf Niazi Department of Medicine, Pakistan Institute of Medical Sciences, Islamabad. Muhammad Irfan Murtaza Department of General Medicine, Pakistan Institute of Medical Sciences, Islamabad, Pakistan. Ayesha Javed Department of General Medicine, Pakistan Institute of Medical Sciences, Islamabad, Pakistan. DOI: https://doi.org/10.47391/JPMA.42922 Abstract 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.Keywords: Diabetes; Ramadan; Pakistan Downloads Full Text Link Published 2022-02-01 How to Cite Fibhaa Syed, Mohammad Ali Arif, Adil Ramzan, Rauf Niazi, Muhammad Irfan Murtaza, & Ayesha Javed. (2022). DAR-GRACE: Diabetes and Ramadan: glycaemic control, physician counselling and patient practices –experience from a tertiary care hospital in Pakistan. Journal of the Pakistan Medical Association. https://doi.org/10.47391/JPMA.42922 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue A Head of Print Section KAP STUDY