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Fasting in Ramadan is not recommended for people with type 1 diabetes. The main risk associated with fasting is dysglycemia (hypoglycemia, hyperglycemia, diabetic ketosis) and dehydration. Nevertheless, whether or not to practice Ramadan remains a personal choice and many people living with diabetes choose to perform this fast with or without their physician's approval. The purpose of this prospective observational study is to evaluate the safety and efficacy of an closed-loop hybrid insulin system on glycemic parameters and the level of hypoglycemia in patients with type 1 diabetes who wished to fast during Ramadan.
Primary objective: to evaluate the efficacy of an closed-loop hybrid insulin system on continuous glucose monitoring (CGM) glycemic parameters during the Ramadan fasting period Primary endpoint : to compare the time spent in the 3.9-10.0 mmol/l glucose target (TIR) from 30 days prior to the Ramadan fasting period to 30 days during the fasting period
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| closed-loop hybrid insulin administration | Other | observational non-interventional study |
| Measure | Description | Time Frame |
|---|---|---|
| Glucose time | time spent in the 3.9-10.0 mmol/l glucose target (TIR)) in the Ramadan period | Day 30 |
| Measure | Description | Time Frame |
|---|---|---|
| Glucose time | The time spent in the 3.9-10.0 mmol/l glucose target (TIR)) in 30 days prior the Ramadan period | Day 60 |
| Glucose time | time spent below target 3.9 mmol/l |
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Inclusion Criteria:
Exclusion Criteria:
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People with type 1 Diabetes
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| Name | Affiliation | Role |
|---|---|---|
| Dured DARDARI, MD | Centre Hospitalier Sud Francilien | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Sud Francilien | Corbeil-Essonnes | 91106 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38888435 | Derived | Outenah C, Ly Sall K, Penfornis A, Amadou C, Dardari D. Automated Insulin Delivery System: A Solution for Moderate to High-Risk Ramadan Fasting in People Living with Type 1 Diabetes. Diabetes Technol Ther. 2024 Nov;26(11):e881-e884. doi: 10.1089/dia.2024.0168. Epub 2024 Jul 17. |
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| Day 30 |
| Glucose time | time spent below target 2.97 mmol/l, between 2.97 and 3.79 mmol/l, between 9.05 mmol/l and 12.5mmol/l and > 12.5 mmol/l | Day 60 |