DOI: 10.36347/sjams.2018.v06i11.020

Pages: 4264-4268

Diabetes can be considered by muslim type 1 diabetics as a real burden preventing them from fasting. The main objective of our study is to study the experience of the type 1 diabetic during Ramadan. This is a longitudinal study, conducted during June and July 2017 in department of endocrinology of Marrakech. The experience of the patients was evaluated 1 month before Ramadan and during Ramadan with the help of: Diabetes Distress Scale 17 (DDS 17), translated and adapted in dialectal arabic, to assess psychosocial distress and the Problem Areas in Diabetes (PAID) to assess the quality of life.Thirty-one patients were included in the study of which 64.5% were female, the mean age was 21 years. Nearly half of the patients had a worsening of the total DDS score. The average PAID score increased from 38 before Ramadan to 39.4 during Ramadan. Associations that were associated with this distress were: female gender, marital status and type of treatment received (aggravation of the DDS score in patients under premixed insulin compared to those under functional insulin therapy). Few studies have documented the experience of type 1 diabetics during the month of Ramadan; our study shows the aggravation of psychosocial distress during the fasting month in type 1 diabetic patients, mostly female, married and under fixed insulin regimen.