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Background and aims: Fasting of Ramadan leads to changes in dietary habits, physical activity, sleep and time of drug intake for diabetics. The objective of this study was to evaluate the effect of pre-Ramadan education on dietary intake and anthropometry of two groups of patients. Material and methods: The entire cohort was divided in a group (G1; n=86) which attended nutritional education sessions and group that did not attend these sessions (G2; n=72). The protocol included three visits before, during and after the month of Ramadan. Results. Total energy intake of the G1 did not differ significantly between visits, unlike the G2. Patients in the G1 reduced their carbohydrate intake during Ramadan with 32.5g, compared to the G2 which decreased their consumption with17.2g. The intake of saturated fatty acids was significantly higher in the G2 (p=0.001) after Ramadan. The number of obese class 2 of the G1 decreased after Ramadan, however for the G2, the number increased. The waist-to-hip ratio and the body fat (%) were unchanged between the three periods. Conclusion. The management of diabetes should be multidisciplinary to ensure better continuity of care. Specialized and individual educational actions must be concrete in diabetics wishing to fast. [ABSTRACT FROM AUTHOR]

Introduction: During the month of Ramadan, muslims change their lifestyle. The objective of this study is to evaluate the effect of Ramadan fasting on the energy intake and anthropometry of type 2 diabetics. Methods: Epidemiological study by questionnaire were collected before (T0), during (T1) and after (T3) Ramadan 2013. The data were collected during medical consultations in sanitary establishments in two regions of the central highlands (Boussaâda) and the south-east of Algeria (Djamaâ). The survey card concerned a food recording and anthropometry repeated during the 3 time periods mentioned before. Results: The study concerned 476 diabetics (255 women, 221 men) with the mean age of 54.9±4.7 years old. 66.4%of diabetics of Boussaâda and 61.8%of Djamaâ followed nutritional education sessions preparing for fasting (p>0.05). The number of fasting days during the month of Ramadan is 24.0±1.7days. By comparing both of the regions, no significant difference was observed in the energy intake distribution and in macronutriments of the diabetics (p>0.05). By comparing the 3 periods, the diabetics of Boussaâda had an energy intake significantly increased at T1 (p=0.000). In Djamaâ, the energy intake decreased fromT0 to T2 (p=0.000). The energy distribution of macronutrients remained stable (p>0.05) between the three periods. Body mass index, waist circumference and the waist-to-hip ratiowere significantly decreased fromT0 toT2 (p<0.05). Conclusion: Ramadan had an influence on the energy intake and anthropometry of diabetics. Food consumed during the fast-breaking meal is characterized by its richness in carbohydrates and lipids. Nutritional education sessions provide the diabetic patients deciding to fast with a chance for properly managing their condition. [ABSTRACT FROM AUTHOR]