Abstract
Introduction: Ramadan in diabetics is at risk ofcomplications. The objective was to assess the risk accordingto the IDF-DAR score and the practices in the diabeticsfollowed.Methodology: We have conducted a cross-sectional,descriptive and analytical study over 7 months (beforeRamadan 2022) at the Marc Sankalé center in diabetics overthe age of 18.Results: 140 patients were included with a sex ratio of 0.47,an average age of 54 years, type 2 diabetes in 94.3% andan average duration of diabetes of 9 years. Among thepatients, 50.7% had an HbA1c<7.5%, 45% on insulin. Acutecomplications before Ramadan were hypoglycaemia(22.1%), diabetic ketoacidosis (7.1%). According to theDiabetes and Ramadan score, the level of risk was low(45%), moderate (27.1%) and high (27.9%) and wasstatistically associated with type 1 diabetes (p=0.021) andwith the duration of diabetes (p=0.000). Among our patients,25.7% had never fasted, 22.1% had interrupted fasting and52.1% had fasted all month. These three groups were athigh risk in 43.2%, 46.7% and 12.3% respectively. In thisgroup, only 32.1% had undergone a pre-Ramadanconsultation.Conclusion: the majority of diabetics continue to fast despitea significant level of risk correlated with type 1 diabetesand the duration of diabetes. A post Ramadan evaluationwould make it possible to judge the applicability of theRamadan DAR in our context.
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