Evidence map›Paper›PMID 28588932›Full record

ArticleBMJ global health2016

Fasting with diabetes: a prospective observational study.

Muhammad Jawad Noon, Haseeb Ahmad Khawaja, Osama Ishtiaq, Quratulain Khawaja, Sana Minhas, Asfandyar Khan Niazi, Abdul Mannan Khan Minhas, Umar Rasool Malhi

Abstract read
In one paragraph

Article in BMJ global health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

8 authors.

Muhammad Jawad NoonShifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Haseeb Ahmad KhawajaBronson Lakeview Family Care - Internal Medicine, Paw Paw, Michigan, USA.
Osama IshtiaqDepartment of Endocrinology, Shifa International Hospital, Islamabad, Pakistan.
Quratulain KhawajaShifa International Hospital, Islamabad, Pakistan.
Sana MinhasShifa International Hospital, Islamabad, Pakistan.
Asfandyar Khan NiaziShifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Abdul Mannan Khan MinhasShifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Umar Rasool MalhiShifa International Hospital, Islamabad, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the proportion of diabetic patients who develop adverse glycaemic events when fasting regularly.

designProspective observational study conducted at a tertiary care hospital in South Asia. Five hundred and twenty-three patients were assessed for eligibility, and 150 were included in the final analysis. Diabetic patients over 18 years of age who were willing to fast regularly and make a chart of their daily blood sugar levels were included in the study. The main outcome measures were hypoglycaemic and hyperglycaemic events. Frequencies and percentages were calculated for quantitative variables, while mean±SD were documented for qualitative variables. Relative risk was calculated as a measure of association.

resultsOf a total of 150 individuals, 10% experienced hypoglycaemia, while 3.3% reported hyperglycaemic episodes. Only 8.7% of the participants discontinued one or more fasts; however, none of them required hospitalisation. There is a negative association between a visit to a physician by diabetic patients before they begin to fast regularly and the risk of developing hypoglycaemia (relative risk 0.73).

conclusionsMany diabetic patients who fast regularly are at high risk of adverse glycaemic events. Most diabetics do not consult their physicians before fasting to adjust medications and lifestyle. Various strategies should be planned and implemented for the awareness and education of such patients to avoid adverse glycaemic events and subsequent complications.

Identifiers

PMID28588932
PMCPMC5321331

What Socratic holds

Textmetadata
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 Socratic graph.