Evidence mapPaperPMID 33110770Full record

ArticleJournal of family medicine and primary care2020

Management of diabetes during fasting and COVID-19 - Challenges and solutions.

Waseem N Ahmed, Chankramath S Arun, Thanuvelil G Koshy, Abilash Nair, Prasanth Sankar, Sabeer A Rasheed, Reeja Ann

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Article in Journal of family medicine and primary care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Waseem N AhmedDepartment of Family and Internal Medicine, CRAFT Hospital and Research Centre, Kodungallur, Thrissur, Kerala, India.
Chankramath S ArunDepartment of Endocrinology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Thanuvelil G KoshyDepartment of Medicine, MOSC (Malankara Orthodox Syrian Church Medical College), Kolencherry, Ernakulam, Kerala, India.
Abilash NairDepartment of Endocrinology, Govt. Medical College, Thiruvananthapuram, Kerala, India.
Prasanth SankarDepartment of Internal Medicine and Diabetes, MGM Muthoot Hospitals, Pathanamthitta, Kerala, India.
Sabeer A RasheedDr Rasheed's Diabetic Specialty Center, Thiruvananthapuram, Kerala, India.
Reeja AnnMedical Officer, Govt Taluk Hospital, North Paravur, Ernakulam, Kerala, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFasting is observed as a religious custom in various forms across the globe. Among them, the Ramadan fasting is very common and widely practiced. People with diabetes observe fasting with or without obtaining medical advice. Uncontrolled diabetes appears to be a risk factor for COVID-19 infection and its poorer outcomes. Fasting during Ramadan is challenging in people with diabetes. This year, the background of COVID-19 made it difficult for both the patients and health care workers to effectively manage diabetes and its complications during Ramadan. Because of a lack of sufficient evidence, clinicians were perplexed in handling this difficult situation. MATERIALS AND

methodsWe accessed PubMed, Google Scholar, various guidelines and other evidence-based articles to review the available current literature which deals with diabetes, Ramadan, and COVID-19.

resultsThe importance of pre-Ramadan assessment, adequate nutrition, and hydration, choosing the right therapy has been emphasized. This review tries to address the common practical challenges and relevant possible solutions for the same. Due consideration has been given to various socio-cultural practices that can influence the management of diabetes patients in the setting of Ramadan and COVID-19 pandemic.

conclusionsDiabetes is associated with increased severity and susceptibility to COVID-19. People with diabetes should go through systemic and structure-based management during fasting. Family physicians who deliver personalized care play a vital role in managing diabetes during this crisis period. Telemedicine is emerging as an effective mode of managing various needs of individuals.

Indexed as

COVID-19diabetesfastingIndiaprimary care physicianRamadan

Identifiers

PMID33110770
PMCPMC7586529

What Socratic holds

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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.