ABSTRACT
To assess the effect of fasting and physical activity on blood pressure, fasting glucose, cholesterol, triglyceride, high density and low density lipoproteins among diabetic type 2 patients. Seventy five patients who had three visits [last ten days of Shabann [visit 1], Ramadan [visit 2] and Shawwal [visit 3]] were included in the study. Physical measurements, clinical measurements and 12 hours fasting blood sample were taken, along with an interview for demographic information and physical activity on each visit. The samples were analyzed for 1] Glucose, 2] Cholesterol, 3] Triglyceride, 4] Uric Acid, 5] HDL-C, and 6] LDL-C. The mean weight of the patients decreased significantly from 71.43 kg to 69.41 kg from visit 1 to visit 2. Mean systolic blood pressure also decreased significantly from 124.25 mm/Hg to 119.86 mm/Hg while. Mean triglyceride level decreased from 239.095mg/L to 207.07 mg/L from visit 1 to visit 2 and it kept decreasing to 159.25 mg/L till third visit. Mean LDL value increased from 104.12 mg/L to 112.64 mg/L from visit one to visit two and then further increased to 119.0 mg/L on the third visit. Ramadan fasting is safe for diabetes type II patients and is associated with weight loss and improvement in the overall diabetic control. Furthermore, the physical activities could reduce the body weight, waist measurement, systolic blood pressure, triglyceride and HDL
ABSTRACT
This is a case report of a 40 year old patient with Henoch-Schonlein Purpura, who presented with upper abdominal pain, retrosternal burning and palpable purpura over the lower limbs. His upper GI Endoscopy revealed erythematous lesions in the body of stomach and more severe antral gastritis, which was later on proved to be due to Helicobacter Pylori [H. Pylori]. The patient was started on anti-H.Pylori treatment with omeprazole, clarithromycin and amoxicillin and responded very well, with remission of symptoms. H.Pylori infection was the most probable cause of Henoch-Schonlein purpura in this patient