"KETONURIA AND SERUM GLUCOSE OF FASTING PREGNANT WOMEN AT THE END OF A DAY IN RAMADAN"

Moslem pregnant women are inclined to fast during the month of Ramadan. Ketonuria and hypoglycemia are harmful in pregnancy. The aim of this study was to find out whether clinical symptoms and/ or calorie deficiency of fasting pregnant women before Eftar (ending of the daily fast) can accurately pre...

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Main Author: M. Arab
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2004-08-01
Series:Acta Medica Iranica
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/386.pdf&manuscript_id=386
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author M. Arab
author_facet M. Arab
author_sort M. Arab
collection DOAJ
description Moslem pregnant women are inclined to fast during the month of Ramadan. Ketonuria and hypoglycemia are harmful in pregnancy. The aim of this study was to find out whether clinical symptoms and/ or calorie deficiency of fasting pregnant women before Eftar (ending of the daily fast) can accurately predict ketonuria and hypoglycemia. In a descriptive study, 185 volunteer fasting pregnant women in Ramadan of 1999 were tested just before Eftar taking into account their clinical symptoms, intake of the previous 24 hours and testing their ketonuria and serum glucose. The positive predictive values of clinical symptoms before breaking the fast for ketonuria and hypoglycemia were 32% and 56%, respectively. The negative predictive values of clinical symptoms for ketonuria and hypoglycemia were 70% and 33%. The positive predictive values of over 500 Kcal deficiency in ketonuria and hypoglycemia were 33% and 57%. Severe calorie deficiency (more than 2000 Kcal) positively predicts ketonuria in 70% of cases and sufficient calorie intake (less than 500 Kcal deficiency) negatively predicts ketonuria in 93% of women. Clinical symptoms and calorie intake were not appropriate criteria for predicting ketonuria and hypoglycemia except in asymptomatic or severely calorie deficient cases or those with sufficient calorie intake whose ketonuria was predicted accurately.
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spelling doaj.art-4a0913f496c04e8c91c19e3675dc24202022-12-21T17:59:44ZengTehran University of Medical SciencesActa Medica Iranica0044-60252004-08-01423209212"KETONURIA AND SERUM GLUCOSE OF FASTING PREGNANT WOMEN AT THE END OF A DAY IN RAMADAN"M. ArabMoslem pregnant women are inclined to fast during the month of Ramadan. Ketonuria and hypoglycemia are harmful in pregnancy. The aim of this study was to find out whether clinical symptoms and/ or calorie deficiency of fasting pregnant women before Eftar (ending of the daily fast) can accurately predict ketonuria and hypoglycemia. In a descriptive study, 185 volunteer fasting pregnant women in Ramadan of 1999 were tested just before Eftar taking into account their clinical symptoms, intake of the previous 24 hours and testing their ketonuria and serum glucose. The positive predictive values of clinical symptoms before breaking the fast for ketonuria and hypoglycemia were 32% and 56%, respectively. The negative predictive values of clinical symptoms for ketonuria and hypoglycemia were 70% and 33%. The positive predictive values of over 500 Kcal deficiency in ketonuria and hypoglycemia were 33% and 57%. Severe calorie deficiency (more than 2000 Kcal) positively predicts ketonuria in 70% of cases and sufficient calorie intake (less than 500 Kcal deficiency) negatively predicts ketonuria in 93% of women. Clinical symptoms and calorie intake were not appropriate criteria for predicting ketonuria and hypoglycemia except in asymptomatic or severely calorie deficient cases or those with sufficient calorie intake whose ketonuria was predicted accurately.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/386.pdf&manuscript_id=386ketones
spellingShingle M. Arab
"KETONURIA AND SERUM GLUCOSE OF FASTING PREGNANT WOMEN AT THE END OF A DAY IN RAMADAN"
Acta Medica Iranica
ketones
title "KETONURIA AND SERUM GLUCOSE OF FASTING PREGNANT WOMEN AT THE END OF A DAY IN RAMADAN"
title_full "KETONURIA AND SERUM GLUCOSE OF FASTING PREGNANT WOMEN AT THE END OF A DAY IN RAMADAN"
title_fullStr "KETONURIA AND SERUM GLUCOSE OF FASTING PREGNANT WOMEN AT THE END OF A DAY IN RAMADAN"
title_full_unstemmed "KETONURIA AND SERUM GLUCOSE OF FASTING PREGNANT WOMEN AT THE END OF A DAY IN RAMADAN"
title_short "KETONURIA AND SERUM GLUCOSE OF FASTING PREGNANT WOMEN AT THE END OF A DAY IN RAMADAN"
title_sort ketonuria and serum glucose of fasting pregnant women at the end of a day in ramadan
topic ketones
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/386.pdf&manuscript_id=386
work_keys_str_mv AT marab ketonuriaandserumglucoseoffastingpregnantwomenattheendofadayinramadan