There are two Ekadashi fasting in a month, one during Shukla Paksha and another during Krishna Paksha. We are … Devotees of Lord Vishnu observe Ekadashi fasting to seek His blessings. Overall, changes in the trends of mean PPG levels between the intervention and control groups were not significant (P = .355). 125 0 obj <>stream Our country, as well as the rest of the world, is currently fighting the COVID-19 outbreak," said Mufti of Singapore Dr Nazirudin Mohd Nasir, adding that besides fasting, Muslims should also play their part in the fight by staying home. The χ2 test of independence or Fisher exact test was performed to compare between-group differences in major and minor hypoglycemia incidence, as appropriate. Trends of change in mean PPG levels across pre-Ramadan, post-Ramadan, and 3-month follow-up timepoints. The efficacy and safety outcomes were assessed using per-protocol analysis of participants who completed the questionnaire and fasted for at least 10 days during the month of Ramadan. 0000026835 00000 n Although not statistically significant, the control group had more actual minor hypoglycemic events than the intervention group. 0000009876 00000 n Stricter safe distancing measures have also been introduced. — Bernama, Nufam urges govt to absorb retrenched airline staff, deploy them as MoH frontliners, Maybank posts lower Q3 profit as pandemic takes toll, Virus hunter Kendra Phelps explains why bats are not to blame for Covid-19 pandemic (VIDEO). Exclusion criteria included baseline estimated glomerular filtration rate <30 mL/min, diabetes-related hospitalization, and short-term corticosteroid therapy. This service is not intended for persons residing in the EU. The philosophy of patient empowerment has transformed diabetes care toward a patient-centric model, supporting individuals to be well-informed decision makers responsible for their own health care. Changes in HbA1c, FBG, and PPG between the pre-Ramadan and post-Ramadan interval and post-Ramadan and 3-month follow-up interval were assessed by separate linear mixed models. Muslims in Singapore also follow the religious obligation of fasting each year in the month of Ramadan according to Singapore Ramadan timings. SINGAPORE: Muslims in Singapore welcomed the holy month of Ramadan on Thursday (Apr 23) amid what has been described as a "different atmosphere". A large-scale multinational study revealed that only 39.3% of individuals received such support from their health care clinicians during Ramadan.11 Little is known in the literature about the role of evidence-based glucose-lowering medication adjustments during the month of Ramadan because such adjustments are generally conducted at the health care clinician’s discretion, and they might have differing experience or competency in managing culturally sensitive diabetes care.11. To address the need for a culturally tailored standard for diabetes care during the month of Ramadan, a multidisciplinary team of clinicians gathered to design an empowerment-based collaborative clinical tool called the Fasting Algorithm for Singaporeans with Type 2 Diabetes (FAST).18 It is a stepwise clinical decision-making tool with risk-assessment screening, Ramadan-specific patient education with self-monitoring of blood glucose (SMBG), structured glucose-lowering medication modification guidance for health care clinicians, and novel self-dose adjustment guidance based on SMBG readings during Ramadan.18 The FAST tool aims to guide an effective and safe fasting experience during Ramadan via active clinician-patient engagement and empowerment of Muslims as informed decision makers in their self-care management during Ramadan by promoting SMBG and relevant medication adjustments.18 The primary objective of the present study was to evaluate the efficacy and safety of the FAST tool. 0000004992 00000 n Singapore Ramadan Calendar 2020, Singapore Sehr o Iftar Timings Find Sehri and Iftar timings of Singapore. 0000021721 00000 n To read or post commentaries in response to this article, see it online at http://www.AnnFamMed.org/content/18/2/139. METHODS We performed a prospective, multicenter, randomized controlled trial. 0000028098 00000 n 0000007226 00000 n The PAID instrument was administered to both groups during the pre-Ramadan and post-Ramadan periods to track the difference, if any, between the groups before and during Ramadan. 0000001715 00000 n 90 36 All intervention participants were followed up by their health care team within 1 month after the conclusion of Ramadan. E.g. Is midnight 12 am or 12 pm? Singapore is a multireligious country, with Islam being the second most common religion.19 Fasting during Ramadan is typically observed between 5:30 am to 7:00 pm, for an average of 13.5 hours per day in Singapore.18 The trial protocol was approved by the Domain Specific Review Board, a local institutional review board, and was performed in accordance to the Declaration of Helsinki ethical standards and the International Conference on Harmonization Good Clinical Practice guideline. Select the city from the list of Singapore cities below to find the Sehri time and Iftar Fasting time of Singapore in Holy month of Ramadan. All religious congregations and services are suspended during the circuit breaker which kicked in on April 7. Year 2020. Muslim individuals with type 2 diabetes who visited the respective health care institutions were screened from the electronic medical records for eligibility. It marks the end of … Singapore Ramadan Timing is as follows: SEHAR Time: 05:34 AM and IFTAR Time: 6:52 PM (Hanafi/Safi'i). 0000005959 00000 n Lee hoped that Muslims in Singapore would understand why the circuit breaker restrictions have been extended, to stamp out new Covid-19 transmissions and to protect all. meREWARDS lets you get coupon deals, and earn cashback when you complete surveys, dine, travel and shop with our partners. “May this Ramadan be a time of quiet reflection and prayer, together with your immediate families,” he wrote in his Facebook page appended with a photo of the majestic Sultan Mosque in Arab Street. If you find a mistake, please let us know. ADA = American Diabetes Association; FBG = fasting blood glucose; PPG = postprandial glucose. We would like to acknowledge the coinvestigators from Tan Tock Seng Hospital, including Dr Seow Cherng Jye, Dr Lee Ying Shan, Dr Kon Yin Chian Winston, Dr Quek Peng Lim Timothy, Dr Lim Su Ping Brenda, Dr Tan Wai Kit Alvin, Dr Ho Wai Han, Dr Tan Seng Kiong, Dr Yeo Pei Shan, Dr Stanley Lam, Dr Chin Han Xin, and Ms Chu Shen Onn, for their clinical and administrative contributions to this study. Owing to the complex and multifaceted nature of type 2 diabetes as a chronic noncommunicable disease, individuals have to make a lifelong commitment and take an active role in implementing optimal management plans in their everyday life.1 Fulfillment of these commitments stems from the balance of intrinsic and extrinsic motivation, which can be influenced by factors at the interpersonal, community, and national levels.2,3 For example, social isolation, usually a result of low socioeconomic status or ethnic minority status, can be a barrier to optimal diabetes care.1 This might be due to individuals belonging to an ethnic minority group being reluctant to seek professional advice on diabetes care because they perceive that health care professionals might not understand their cultural and religious needs.4 This was a barrier to optimal self-management and diabetes care established among those of the Muslim community worldwide who fast during Ramadan.4 Self-management of type 2 diabetes while fasting during Ramadan can be demanding and challenging for observant Muslim individuals to handle alone, without the support of their health care clinicians.4, During Ramadan, observant Muslims abstain from the consumption of food and fluids (including medications) as well as smoking and sexual activities from dawn to dusk.5 Sleeping patterns and daily physical activities are also altered during Ramadan.6,7 Concerns have been raised regarding the metabolic implications of these behavioral changes, in particular the unpredictability of blood glucose levels in individuals with differing baseline glycemic control.8 In addition, the practice of Ramadan fasting increases the risks of complications of acute diabetes, such as hypoglycemia, hyperglycemia with or without ketoacidosis, dehydration, and thrombosis, in poorly managed patients.5,9 Thus, fasting during Ramadan entails abrupt shifts in meal timing and physical activities, which affect circadian rhythmicity and lifestyle behaviors.5,7,8, Although Islamic law exempts the sick from fasting, Ramadan fasting remains a deeply rooted sociocultural practice that provides spiritual enhancement and social cohesion among observant Muslims with type 2 diabetes, with up to 94.2% reported to fast for at least 15 days during Ramadan.10,11 Whereas fasting during Ramadan may promote psychologic and spiritual well-being among the general Muslim population,7 several observational studies have revealed struggles among Muslims with diabetes in coordinating self-management requirements, from diet control to medication intake, with the sociocultural demands of Ramadan observance.12,13 Ramadan observance presents challenges that can affect psychosocial well-being and compromise self-efficacy in diabetes management, which in turn can contribute to diabetes distress.12,14 Diabetes distress refers to negative emotional responses to the stress of coping with the demands of diabetes management and is associated with glycemic control and self-care behavior in individuals with diabetes.14,15 The role of health care clinicians in providing technical and emotional support to address diabetes distress cannot be emphasized enough regarding the aim of empowering Muslims who fast to effectively manage their diabetes care during the month of Ramadan.16,17, There is no standard practice or culturally tailored epistemic tool to date for the management of type 2 diabetes among Muslims who fast during Ramadan, despite international guidelines made available in recent years.5,10 The challenge of universal uptake of the recommendations for multiprong Ramadan diabetes care, targeting patient education and medication management, is global.11 In particular, there remains broad variability in health care clinician–led medication modifications.
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