RESUMO
AIM: to investigate causal relationship between Ramadan fasting and acute diabetic complications in adult controlled type 2 diabetics. METHODS: a Pubmed's Clinical Queries and Embase search was conducted and resulted in 2 useful articles: 1 systematic review and 1 cohort study to be critically appraised. RESULTS: the incidence of acute diabetic complications is higher during Ramadan, with the relative risk for adult type 2 diabetics who fast during Ramadan is 1.36 and number needed to harm 50. CONCLUSION: Ramadan fasting was related with acute diabetic complications in adult controlled type 2 diabetics, but the risk was only slightly higher. It is acceptable for type 2 diabetics to fast during Ramadan.
Assuntos
Complicações do Diabetes/etiologia , Diabetes Mellitus Tipo 2/complicações , Jejum/efeitos adversos , Humanos , IslamismoRESUMO
Hypereosinophilic syndrome (HES) is defined as a persistent eosinophilia lasting longer than 6 months of unknown origin and related to organ involvement. Cardiac involvement, usually leading to morbidity and mortality of HES patients, often mimics other diseases such as acute coronary syndrome. We report a 46-year-old female who came to hospital with atypical chest pains and a known history of eosinophilia. After excluding other possible causes of eosinophilia, she underwent further cardiac investigations. She had normal cardiac size on echocardiography and no thrombus or mass, with only global hypokinesia with systolic and diastolic dysfunction noted. These findings were different from other studies. This patient was then treated as HES with cardiac involvement.