Risks of Ramadan Fasting in Patients With Primary Adrenal Insufficiency Treated With Prednisolone.
NCT07367425 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 35
Last updated 2026-01-26
Summary
In primary adrenal insufficiency (PAI), there is a risk of hypoglycemia and dehydration. These risks seem to be increased during intermittent fasting. A previous study in patients with PAI treated with hydrocortisone at a dose of 20 mg/day showed that the prevalence of hypoglycemia was as high outside (63%) as during Ramadan fasting (71%), and that there was no risk of dehydration. We propose to evaluate the risk of complications during and outside of Ramadan fasting through a prospective study with subjects taken as their own controls, in 35 patients with PAI treated with prednisolone at a dose of 5 mg/day. Patients will undergo an interview, physical examination, blood sampling, and continuous glucose monitoring (CGM) during two weeks of fasting and two weeks of non-fasting.
Conditions
- Primary Adrenal Insufficiency
- Ramadan Fasting
- Prednisolone
- Continuous Glucose Monitoring
- Hypoglycemia Non-Diabetic
- Dehydration
Interventions
- OTHER
-
Ramadan fasting
Ramadan fasting is a religious dry intermittent fasting
Sponsors & Collaborators
-
Hopital La Rabta
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 20 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-01-22
- Primary Completion
- 2026-03-22
- Completion
- 2026-03-30
Countries
- Tunisia
Study Locations
More Related Trials
-
Incidence of Hypoglycemia During Ramadan in Patients With Type1 Diabetes on Insulin Pump Versus Multi Dose Injection
NCT01941238 ·Status: COMPLETED
-
Prevalence of Hypoglycaemia in Congenital Adrenal Insufficiency
NCT04322435 ·Status: COMPLETED ·Phase: NA
-
Effect of Fasting on Insulin-induced Hypoglycemia Counterregulation in Healthy Humans
NCT04392843 ·Status: COMPLETED ·Phase: NA
-
The Management of Glucocorticoid-Induced Hyperglycemia in Hospitalized Patients
NCT01810952 ·Status: COMPLETED ·Phase: PHASE4
-
Iranian Intensive Care Unit (ICU) Glutamine Study
NCT01219608 ·Status: COMPLETED ·Phase: NA
-
Use of NPH Versus Basal Bolus Insulin for Steroid Induced Hyperglycemia
NCT03511521 ·Status: TERMINATED ·Phase: PHASE4
-
Comparison of Hypoglycaemic Regimens During Ramadan Fasting in Type 2 Diabetes
NCT01624116 ·Status: COMPLETED ·Phase: NA
-
Clinical Survey Study to Assess Physical Function and the Incidence of Hypoglycemia in Participants With Glycogen Storage Disease Type III
NCT05196165 ·Status: TERMINATED
-
Fasting Induced Hypoglycaemia in Anaesthetised Paediatric Patients
NCT07259629 ·Status: RECRUITING
-
Study of the Impact of HYPOglycaemia on Sarcopenia in CIRrhosis
NCT06948656 ·Status: RECRUITING
-
Early Versus Late Administration of Insulin Glargine in T1DM During Fasting Ramadan
NCT04383990 ·Status: COMPLETED ·Phase: NA
-
The Glucagonotropic Effects of Glucose-dependent Insulinotropic Polypeptide and Alanine in Healthy Individuals
NCT06419686 ·Status: RECRUITING ·Phase: PHASE1
-
Prevention of Corticosteroid-induced Glucose Intolerance
NCT00240604 ·Status: UNKNOWN ·Phase: PHASE3
-
Hyperinsulinemic Normoglycemic Clamp for Pancreas and Simultaneous Pancreas/Kidney Transplant Recipients
NCT01001273 ·Status: UNKNOWN ·Phase: NA
-
Post-Gastric Bypass Hypoglycemia
NCT01933490 ·Status: COMPLETED ·Phase: NA
-
Hypoglycemia and the Mineralocorticoid Receptor
NCT01394627 ·Status: COMPLETED ·Phase: NA
-
Perioperative Fluid Management According to the Preoperative and Perioperative Glucose Level
NCT03955237 ·Status: COMPLETED ·Phase: NA
-
Maternal Hypoglycemia and Placental Pathology
NCT00614094 ·Status: COMPLETED
-
Role of Nutrient Transit in Hyperinsulinemic Hypoglycemia
NCT04615546 ·Status: RECRUITING ·Phase: NA
-
Antenatal Betamethasone and the Risk of Neonatal Hypoglycemia
NCT03702959 ·Status: UNKNOWN
-
Effect of Naltrexone on Counterregulatory Mechanisms in Hypoglycemia
NCT01462227 ·Status: COMPLETED ·Phase: NA
-
Hypoglycemia: Physician and Patient Perspectives
NCT01176656 ·Status: COMPLETED
-
Pasireotide in the Treatment of Hypoglycemia Following Gastric Bypass Surgery
NCT03514576 ·Status: UNKNOWN ·Phase: PHASE4
-
The Construction and Validation of a Risk Prediction Model for Perioperative Hypoglycemia in Digestive Endoscopy
NCT07132476 ·Status: COMPLETED
-
Glucose Response to a Formula for Patients at Risk of Hypoglycaemia
NCT05676385 ·Status: COMPLETED ·Phase: NA