Journals / Medicine Science / 2022 / Cilt: 11 - Sayı: 1

Does Ramadan fasting affect glicemic control in patients with diabetes mellitus? effects of fasting on betatrophin and insulin resistance

Pages
394–398
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Ramadan fasting of diabetic patients in the low and moderate risk group did not disrupt metabolic order and glucose regulation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Insulin resistance, which is involved in the pathogenesis of Type 2 Diabetes (T2DM), is considered to be associated with betatrophin.
📊
Key Findings & Data:In this study, the changes in pre-Ramadan and post-Ramadan betatrophin levels, HOMA-IR levels, and metabolic parameters were evaluated in patients with T2DM, using oral antidiabetic (OAD) and wanting to fast during Ramadan. 50 patients with T2DM receiving OAD treatment and 40 healthy volunteers were included in the study.
💡
Conclusion & Impact:Ramadan fasting of diabetic patients in the low and moderate risk group did not disrupt metabolic order and glucose regulation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Insulin resistance, which is involved in the pathogenesis of Type 2 Diabetes (T2DM), is considered to be associated with betatrophin. Moreover, it is known that betatrophin levels may be affected by environmental factors. In this study, the changes in pre-Ramadan and post-Ramadan betatrophin levels, HOMA-IR levels, and metabolic parameters were evaluated in patients with T2DM, using oral antidiabetic (OAD) and wanting to fast during Ramadan. 50 patients with T2DM receiving OAD treatment and 40 healthy volunteers were included in the study. Glucose, cholesterol, HDL, LDL, triglyceride measurements were performed with AU-5800 autoanalyzer. Insulin levels were measured with DXI-800 and HbA1c levels with the Premier HB920 device. Furthermore, betatrophin levels were measured using the enzyme-linked immunosorbent assay method. At the beginning and the end of Ramadan, betatrophin levels were detected to be higher in the diabetic group compared to the control group. It was revealed that the post-Ramadan insulin and HOMA-IR levels were lower than the pre-Ramadan values in both of the groups. A positive correlation was found between betatrophin levels and triglyceride (r: 0.289, p= 0.042), and insulin (r: 0.276, p= 0.053) levels in the diabetic group. The study indicated that Ramadan fasting reduced the body mass index and average glucose. Thus, insulin resistance decreased. Betatrophin levels, which may be affected by environmental factors, displayed no changes. Ramadan fasting of diabetic patients in the low and moderate risk group did not disrupt metabolic order and glucose regulation.

🔖

Cite This Article

TİMURKAN, M., TİMURKAYA, E. S., ASLAN, Y., KALAYCI, M., AYYILDIZ, H. (2022). Does Ramadan fasting affect glicemic control in patients with diabetes mellitus? effects of fasting on betatrophin and insulin resistance. Medicine Science, Cilt: 11 - Sayı: 1, 394–398. https://ajindex.com/articles/418456

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. International Diabetes Federation. IDF diabetes atlas, ninth edition 2019. https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html. access date 20.09.2021
  2. The Holy Qur’an Sura 2:v.183-185
  3. Ghouri N, Gatrad R, Sattar N, et al. Summer-winter switching of the Ramadan fasts in people with diabetes living in temperate regions. Diabet Med. 2012;29:696-7
  4. Aadil N, Houti IE, Moussamih S. Drug intake during Ramadan. Br Med J. 2004;329:778-82
  5. Diabetes and Ramadan. IDF-DAR Practical Guidelines 2021. Accessed September 20, 2021. https://www.idf.org/our-activities/education/diabetesand- ramadan.html. access date 20.09.2021 6. Zhang R. Lipasin, a novel nutritionally-regulated liver-enriched factor that regulates serum triglyceride levels. Biochem Biophys Res Commun. 2012;424:786-92
  6. Rong Guo X, Li Wang X, Chen Y, et al. ANGPTL8/betatrophin alleviates insulin resistance via the Akt-GSK3β or Akt-FoxO1 pathway in HepG2 cells. Experimental Cell Research. 2016;345:158-67
  7. Fenzl A, Itariu BK, Kosi L, et al. Circulating betatrophin correlates with atherogenic lipid profilesbut not with glucose and insulin levels in insulinresistant individuals. Diabetologia. 2014;57:1204-8
  8. Wang S, Hong X, Tu Z, et al. Angiopoietin-like protein 8: An attractive biomarker for the evaluation of subjects with insulin resistance and related disorders. Diabetes Res Clin Pract. 2017;133:168-77
  9. Ibrahim M, Davies MJ, Ahmad E, et al. Recommendations for management of diabetes during Ramadan: update 2020, applying the principles of the ADA/EASD consensus. BMJ Open Diabetes Res Care. 2020;8:e001248
  10. BaHammam AS, Almeneessier AS. Recent Evidence on the impact of ramadan diurnal intermittent fasting, mealtime, and circadian rhythm on cardiometabolic risk: a review. Front Nutr. 2020;7
  11. Faris MeA-I, Jahrami H, BaHammam A, et al. A systematic review, metaanalysis, and meta-regression of the impact of diurnal intermittent fasting during Ramadan on glucometabolic markers in healthy subjects. Diabetes Res Clin Pract. 2020;165:108226
  12. Ramlo-Halsted BA, Edelman SV. The natural history of type 2 diabetes. Implications for clinical practice. Prim Care. 1999;26:771-89
  13. Taylor R. Pathogenesis of type 2 diabetes: tracing the reverse route from cure to cause. Diabetologia. 2008; 51:1781-89
  14. Steven S, Hollingsworth KG, Al-Mrabeh A, et al. Very low-calorie diet and 6 months of weight stability in type 2 diabetes: pathophysiological changes in responders and