PMID- 35299797
OWN - NLM
STAT- MEDLINE
DCOM- 20220321
LR  - 20220321
IS  - 2075-0528 (Electronic)
IS  - 2075-051X (Print)
IS  - 2075-051X (Linking)
VI  - 22
IP  - 1
DP  - 2022 Feb
TI  - Serum Glucose Measurement after Five to Six Hours is Comparable to Eight Hours 
      Fasting in Ramadan.
PG  - 123-128
LID - 10.18295/squmj.5.2021.084 [doi]
AB  - OBJECTIVES: This study aimed to evaluate whether a shorter fasting duration of 
      five to six hours can be used as an alternative to the usually recommended eight 
      hours for fasting glucose measurement. METHODS: This one-month observational, 
      cross-sectional study was conducted during Ramadan (May to June) 2019. It 
      included those attending Faiha Specialized Diabetes, Endocrine and Metabolism 
      Center, Basrah, Iraq; all individuals ate a pre-dawn meal (suhoor) followed by a 
      complete fast for many hours. Two fasting serum glucose (FSG) venous samples were 
      taken; the first was taken five to six hours and the second eight hours after the 
      pre-dawn meal. Participants were divided into two groups: individuals with type 2 
      diabetes mellitus (T2DM) and those with a normal glucose level. T2DM patients 
      were further subdivided into three groups: those without treatment, those on oral 
      antidiabetic drugs (OAD) and those using insulin and OAD. RESULTS: A total of 200 
      individuals participated in this study. There was no significant difference found 
      between the mean FSG levels in the first and second samples for those without 
      T2DM (104.5 +/- 21.4 mg/dL versus 104.8 +/- 12.6 mg/dL; P = 0.80) as well as those 
      with T2DM (235.0 +/- 107.0 mg/dL versus 230.0 +/- 105.0 mg/dL; P = 0.20). Untreated 
      T2DM patients had non-significant FSG readings for the two samples (194.0 +/- 151.5 
      mg/dL versus 193.9 +/- 128.9 mg/dL; P = 0.90). Patients on insulin and OAD showed a 
      similar pattern of FSG (268.0 +/- 111.0 mg/dL versus 269.0 +/- 114.0 mg/dL). However, 
      the two FSG samples were found to be significantly different among patients on 
      OAD (220.0 +/- 78.0 mg/dL versus 207.0 +/- 77.0 mg/dL; P = 0.01). CONCLUSION: The 
      fasting duration of five to six hours can give a comparable measurement of FSG as 
      that obtained after eight hours.
CI  - (c) Copyright 2022, Sultan Qaboos University Medical Journal, All Rights Reserved.
FAU - Almomin, Ammar M S
AU  - Almomin AMS
AD  - Faiha Specialized Diabetes, Endocrine and Metabolism Center, Basrah Health 
      Directorate, Alzahraa College of Medicine, Basrah, Iraq.
FAU - Odhaib, Samih A
AU  - Odhaib SA
AD  - College of Medicine, University of Basrah, Basrah, Iraq.
FAU - Altemimi, Mahmood T
AU  - Altemimi MT
AD  - College of Medicine, University of Basrah, Basrah, Iraq.
FAU - Nwayyir, Hussein A
AU  - Nwayyir HA
AD  - College of Medicine, University of Basrah, Basrah, Iraq.
FAU - Hussein, Ibrahim H
AU  - Hussein IH
AD  - College of Medicine, University of Basrah, Basrah, Iraq.
FAU - Alidrisi, Haider A Y
AU  - Alidrisi HAY
AD  - College of Medicine, University of Basrah, Basrah, Iraq.
FAU - Alibrahim, Nassar T Y
AU  - Alibrahim NTY
AD  - College of Medicine, University of Basrah, Basrah, Iraq.
FAU - Mansour, Abbas A
AU  - Mansour AA
AD  - College of Medicine, University of Basrah, Basrah, Iraq.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20220228
PL  - Oman
TA  - Sultan Qaboos Univ Med J
JT  - Sultan Qaboos University medical journal
JID - 101519915
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Blood Glucose
MH  - Cross-Sectional Studies
MH  - *Diabetes Mellitus, Type 2/drug therapy
MH  - Fasting/metabolism
MH  - Humans
MH  - Islam
PMC - PMC8904110
OTO - NOTNLM
OT  - Diabetes Mellitus
OT  - Duration of Therapy
OT  - Fasting
OT  - Glucose
OT  - Iraq
COIS- CONFLICT OF INTEREST The authors declare no conflicts of interest.
EDAT- 2022/03/19 06:00
MHDA- 2022/03/22 06:00
PMCR- 2022/02/01
CRDT- 2022/03/18 05:10
PHST- 2020/10/23 00:00 [received]
PHST- 2021/01/06 00:00 [revised]
PHST- 2021/01/30 00:00 [accepted]
PHST- 2022/03/18 05:10 [entrez]
PHST- 2022/03/19 06:00 [pubmed]
PHST- 2022/03/22 06:00 [medline]
PHST- 2022/02/01 00:00 [pmc-release]
AID - squmj2202-123-128 [pii]
AID - 10.18295/squmj.5.2021.084 [doi]
PST - ppublish
SO  - Sultan Qaboos Univ Med J. 2022 Feb;22(1):123-128. doi: 10.18295/squmj.5.2021.084. 
      Epub 2022 Feb 28.