Young people with type 1 diabetes on insulin pump therapy could fast safely during COVID–19 pandemic Ramadan: A telemonitoring experience in Bangladesh

Abstract Our aim was to report our telemedicine experience with type 1 diabetes patients using insulin pumps who fasted for Ramadan 2020 during the COVID‐19 pandemic. The routine diabetes outpatient care in our Changing Diabetes in Children (CDiC) Pediatric Diabetes Center at the Bangladesh Institut...

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Main Authors: Bedowra Zabeen, Bulbul Ahmed, Jebun Nahar
Format: Article
Language:English
Published: Wiley 2021-06-01
Series:Journal of Diabetes Investigation
Subjects:
Online Access:https://doi.org/10.1111/jdi.13449
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author Bedowra Zabeen
Bulbul Ahmed
Jebun Nahar
author_facet Bedowra Zabeen
Bulbul Ahmed
Jebun Nahar
author_sort Bedowra Zabeen
collection DOAJ
description Abstract Our aim was to report our telemedicine experience with type 1 diabetes patients using insulin pumps who fasted for Ramadan 2020 during the COVID‐19 pandemic. The routine diabetes outpatient care in our Changing Diabetes in Children (CDiC) Pediatric Diabetes Center at the Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders hospital was closed, as there was a lockdown from 26 March in Bangladesh. The diabetes team in our center started telemedicine care for routine follow up of patients. Nine patients who wished to fast for Ramadan contacted our diabetes team over the phone. The mean age was 19.3 ± 5.0 years, and five (55.6%) were female. Most of the patients fasted >20 days. Hyperglycemia and mild hypoglycemia were common complications during fasting. There was no episode of severe hypoglycemia or diabetic ketoacidosis, and none of the patients required admission. During the COVID‐19 crisis in Bangladesh, patients with type 1 diabetes using an insulin pump could fast safely for Ramadan with the support of the telemedicine service by the diabetes team.
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spelling doaj.art-fec7f00a367043b49781c5ea940fb3022022-12-21T18:27:45ZengWileyJournal of Diabetes Investigation2040-11162040-11242021-06-011261060106310.1111/jdi.13449Young people with type 1 diabetes on insulin pump therapy could fast safely during COVID–19 pandemic Ramadan: A telemonitoring experience in BangladeshBedowra Zabeen0Bulbul Ahmed1Jebun Nahar2Department of Pediatrics & Changing Diabetes in Children Program Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) Dhaka BangladeshDepartment of Pediatrics Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) Dhaka BangladeshDepartment of Pediatrics Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) Dhaka BangladeshAbstract Our aim was to report our telemedicine experience with type 1 diabetes patients using insulin pumps who fasted for Ramadan 2020 during the COVID‐19 pandemic. The routine diabetes outpatient care in our Changing Diabetes in Children (CDiC) Pediatric Diabetes Center at the Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders hospital was closed, as there was a lockdown from 26 March in Bangladesh. The diabetes team in our center started telemedicine care for routine follow up of patients. Nine patients who wished to fast for Ramadan contacted our diabetes team over the phone. The mean age was 19.3 ± 5.0 years, and five (55.6%) were female. Most of the patients fasted >20 days. Hyperglycemia and mild hypoglycemia were common complications during fasting. There was no episode of severe hypoglycemia or diabetic ketoacidosis, and none of the patients required admission. During the COVID‐19 crisis in Bangladesh, patients with type 1 diabetes using an insulin pump could fast safely for Ramadan with the support of the telemedicine service by the diabetes team.https://doi.org/10.1111/jdi.13449COVID‐19RamadanType 1 diabetes
spellingShingle Bedowra Zabeen
Bulbul Ahmed
Jebun Nahar
Young people with type 1 diabetes on insulin pump therapy could fast safely during COVID–19 pandemic Ramadan: A telemonitoring experience in Bangladesh
Journal of Diabetes Investigation
COVID‐19
Ramadan
Type 1 diabetes
title Young people with type 1 diabetes on insulin pump therapy could fast safely during COVID–19 pandemic Ramadan: A telemonitoring experience in Bangladesh
title_full Young people with type 1 diabetes on insulin pump therapy could fast safely during COVID–19 pandemic Ramadan: A telemonitoring experience in Bangladesh
title_fullStr Young people with type 1 diabetes on insulin pump therapy could fast safely during COVID–19 pandemic Ramadan: A telemonitoring experience in Bangladesh
title_full_unstemmed Young people with type 1 diabetes on insulin pump therapy could fast safely during COVID–19 pandemic Ramadan: A telemonitoring experience in Bangladesh
title_short Young people with type 1 diabetes on insulin pump therapy could fast safely during COVID–19 pandemic Ramadan: A telemonitoring experience in Bangladesh
title_sort young people with type 1 diabetes on insulin pump therapy could fast safely during covid 19 pandemic ramadan a telemonitoring experience in bangladesh
topic COVID‐19
Ramadan
Type 1 diabetes
url https://doi.org/10.1111/jdi.13449
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AT jebunnahar youngpeoplewithtype1diabetesoninsulinpumptherapycouldfastsafelyduringcovid19pandemicramadanatelemonitoringexperienceinbangladesh