Glycemic fluctuations, fatigue, and sleep disturbances in type 2 diabetes during ramadan fasting: A cross-sectional study

Hypoglycemia and hyperglycemia are common among people with type 2 diabetes during Ramadan. Fatigue and poor sleep quality were also widespread. Key factors linked to these glycemic fluctuations were pre-Ramadan HbA1c levels and fatigue, while sleep quality was particularly associated with hyperglycemia. These results highlight the need for personalized care to manage blood sugar levels and improve overall health during Ramadan. We recommend that healthcare providers advise patients with type 2 diabetes to aim for 7-8 hours of sleep per night to help control blood glucose levels. Additionally, having three meals a day (Suhoor, Iftar, and a post-Iftar snack) with low glycemic index foods can help maintain stable blood glucose and prevent both hypoglycemia and hyperglycemia during Ramadan.

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Publication Details

Journal
PLoS ONE
Published
2025-03-05
DOI
https://doi.org/10.1371/journal.pone.0312356
Citations
1
Primary Topic
Dietary Effects on Health
Type
article
Field-Weighted Citation Impact
1.16
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article

Glycemic fluctuations, fatigue, and sleep disturbances in type 2 diabetes during ramadan fasting: A cross-sectional study

Safiruddin Al Baqi, Hsuan‐Ju Kuo, Hsiao‐Yean Chiu, Faizul Hasan et al.
1 citations
PLoS ONE
Dietary Effects on Health
1.16
article

Glycemic fluctuations, fatigue, and sleep disturbances in type 2 diabetes during ramadan fasting: A cross-sectional study

Safiruddin Al Baqi, Hsuan‐Ju Kuo, Hsiao‐Yean Chiu, Faizul Hasan, Rudy Kurniawan, Emmanuel Ekpor, Debby Syahru Romadlon, Po‐Jen Kung, Satwika Arya Pratama
article en
1 citations

Abstract

Hypoglycemia and hyperglycemia are common among people with type 2 diabetes during Ramadan. Fatigue and poor sleep quality were also widespread. Key factors linked to these glycemic fluctuations were pre-Ramadan HbA1c levels and fatigue, while sleep quality was particularly associated with hyperglycemia. These results highlight the need for personalized care to manage blood sugar levels and improve overall health during Ramadan. We recommend that healthcare providers advise patients with type 2 diabetes to aim for 7-8 hours of sleep per night to help control blood glucose levels. Additionally, having three meals a day (Suhoor, Iftar, and a post-Iftar snack) with low glycemic index foods can help maintain stable blood glucose and prevent both hypoglycemia and hyperglycemia during Ramadan.

PLoS ONEVol. 20(3)
University of Ghana (GH), Johns Hopkins University (US), Chulalongkorn University (TH), National Taiwan University (TW), Universitas Negeri Surabaya (ID), Taipei Medical University Hospital (TW), Taipei Medical University (TW), National Cheng Kung University (TW), National Yang Ming Chiao Tung University (TW)
Openalex Percentile: Top 25%
Dietary Effects on Health
1.16
DOIOpen Access PDFOpenAlex
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Glycemic fluctuations, fatigue, and sleep disturbances in type 2 diabetes during ramadan fasting: A cross-sectional study — Safiruddin Al Baqi, Hsuan‐Ju Kuo, et al. · PLoS ONE (2025) | TGRS Research Map | TGRS