RESUMO
AIMS: To examine the impact of Ramadan Focused Education Program (RFEP) on medications adjustment in type 2 diabetes patients in Ramadan. METHODS: This is a controlled, intervention based study. It was run on three phases: before, during, and after Ramadan on 262 type 2 diabetes patients. The intervention group (nâ¯=â¯140) received RFEP on medications doses & timing adjustment before and after Ramadan, while the control group (nâ¯=â¯122) received standard care. RESULTS: The dose of insulin glargine was reduced from 42.51⯱â¯22.16 at the baseline to 40.11⯱â¯18.51-units during Ramadan (pâ¯=â¯0.002) in the intervention group while it remained the same in the control group before Ramadan and during Ramadan (38.51⯱â¯18.63 and 38.14⯱â¯18.46, Pâ¯=â¯0.428, respectively). The hypoglycemia score was 14.2 ± (8.5) pre-Ramadan in the intervention and reduced to 6.36⯱â¯6.17 during Ramadan (pâ¯<â¯0.001) while in the control group, no significant changes were noted before and during Ramadan (14.01⯱â¯5.10 versus 13.46⯱â¯5.30). CONCLUSIONS: Ramadan Focused Education Program done at a primary healthcare setting had a positive impact on medication adjustment for dose and timing during fasting in Ramadan in diabetic patients, and it can be a useful tool to achieve better outcomes; less hypoglycemia and safe fasting among T2D patients during Ramadan.