Evidence mapPaperPMID 37867270Full record

ReviewCurrent diabetes reviews2024

Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism.

Inass Shaltout, Amr Mahmoud Abdelwahab, Amr El Meligi, Hany Hammad, Shereen Abdelghaffar, Atef Elbahry, Nasser Taha, Nehal Hamdy Elsaid, Amr Gad, Laila Hammouda and 2 more

Open access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Current diabetes reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

12 authors at 4 institutions in 2 countries.

Inass ShaltoutInternal Medicine and Diabetes Department, Cairo University, Cairo, Egypt.ORCID 0000-0003-1264-4922
Amr Mahmoud AbdelwahabInternal Medicine and Diabetes Department, Minia University, Minia, Egypt.ORCID 0000-0002-8772-0240
Amr El MeligiInternal Medicine and Diabetes Department, Cairo University, Cairo, Egypt.ORCID 0000-0002-7394-3849
Hany HammadInternal Medicine and Nephrology Department, Cairo University, Cairo, Egypt.ORCID 0000-0003-0115-0388
Shereen AbdelghaffarDepartment of Pediatrics, Pediatric Diabetes and Endocrinology Unit, Cairo University, Cairo, Egypt.ORCID 0000-0002-2876-4809
Atef ElbahryCardiology Unit, Port Fouad Centre, Port Fouad, Egypt.ORCID 0000-0003-3452-7719
Nasser TahaCardiology Department, Minia University, Minia, Egypt.ORCID 0000-0001-7513-5952
Nehal Hamdy ElsaidInternal Medicine and Diabetes Department, Cairo University, Cairo, Egypt.
Amr GadVascular Surgery Department, Cairo University, Cairo, Egypt.
Laila HammoudaOphthalmology Department, Minia University, Minia, Egypt.ORCID 0000-0002-1778-4812
Shaymaa AbdelmaboudCardiology Department, National Heart Institute, Giza, Egypt.
Amin Roshdy SolimanInternal Medicine and Nephrology Department, Cairo University, Cairo, Egypt.ORCID 0000-0002-5589-1037
Cairo University · EGEuropean Association for the Study of Diabetes · DEMinia University · EGMinia University Hospital · EG

Funding

Servier Project Funding,,
6 · The paper itself

Abstract

backgroundCurrent international guidelines recommend a pre-Ramadan risk assessment for people with diabetes (PwDM) who plan on fasting during the Holy month. However, a comprehensive risk assessment-based recommendation for the management of PwDM intending to fast is still controversial. Therefore, the Arabic Association for the Study of Diabetes and Metabolism (AASD) developed this consensus to provide further insights into risk stratification in PwDM intending to fast during Ramadan.

methodsThe present consensus was based on the three-step modified Delphi method. The modified Delphi method is based on a series of voting rounds and in-between meetings of the expert panel to reach agreements on the statements that did not reach the consensus level during voting. The panel group comprised professors and consultants in endocrinology (both adult and pediatric). Other members included experts in the fields of cardiovascular medicine, nephrology, ophthalmology, and vascular surgery, affiliated with academic institutions in Egypt.

resultIn PwDM who intend to fast during Ramadan, risk stratification is crucial to optimize patient outcomes and prevent serious complications. The present consensus provides risk assessment of those living with diabetes according to several factors, including the type of diabetes, presence, and severity of complications, number of fasting hours, and other socioeconomic factors. According to their risk factors, patients were classified into four categories (very high, high, moderate, and low risk).

conclusionFuture research is warranted due to the controversial literature regarding the impact of fasting on certain comorbidities.

Indexed as

FastingIslamDelphi TechniqueDiabetes ComplicationsDiabetes MellitusDiabetes Mellitus, Type 2HumansRisk AssessmentRisk FactorsDiabetesfastingramadanrisk stratification.type 1 diabetestype 2 diabetes

Identifiers

PMID37867270
PMCPMC11041120
OpenAlexW4387865279

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.