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Diabetes and Ramadan Literature

(June 2014)


Religious fasting, Ramadan and hypoglycemia in people with diabetes

Alia Gilani1, Melanie Davies2, Kamlesh Khunti2
1 NHS Glasgow, United Kingdom
2 Leicester Diabetes Centre, Leicester General Hospital, Leicester, United Kingdom

 “spotlight” article about fasting and hypoglycaemia in Diabetic Hypoglycemia
(June 2014, Vol 7, Issue 1, Pages 15-19). 



Abstract
Most Muslims with diabetes will take part in Ramadan even though they may be exempt from doing so. In some countries a religious fast can last between 10 and 21 hours. The main risk of fasting to people with diabetes is hypoglycemia. People with diabetes who fast may have to alter the dose of their medications or modify their therapeutic regimen to avoid hypoglycemia, which can have adverse effects on glycemic control. Therapies which pose a high risk of hypoglycemia when used during fasting are sulfonylureas and insulin therapy. Metformin, incretin therapies and the newer sodium glucose co-transporter 2 inhibitor class have a low risk of hypoglycemia. The practice of fasting during Ramadan is advocated for all healthy individuals. If deemed detrimental to health then a person can be considered exempt from fasting; this includes frail and elderly people, pregnant and breast feeding women, children and people with multi-morbidities.


 

BMJ Clinical Review published June 22nd 2010
E Hui, specialist registrar1, V Bravis, academic research fellow1, M Hassanein, consultant physician2, W Hanif, consultant physician3, R Malik, professor of medicine4, T A Chowdhury, consultant physician5, M Suliman, consultant physician6, D Devendra, consultant community diabetologist1,7 (Article mentions the Leicestershirediabetes website as a patient resource.)
 

 


 


Updated at 2014-07-18 14:05:45 by Shehnaz Jamal


Documents

Fasting During The month of Ramadan For People With Diabetes

SA Beshyah Medicine and Fiqh United at Last 1:9 www.ijmbs.org ISSN: 1947-489X Download Document

Muslims with type 2 Diabetes fasting during ramadan: treatment with Glibenclamide

J Belkhadir, H El Ghomari, N K16cker, A Mikou, MNasciri, M Sabri Download Document

An Educational class on Diabetes Self Management during Ramadan

Practical Diabetes 2003 Download Document

Management of Diabetes Diabetic Medicine

Includes Diabetes Management during Ramadan by D. Whitelaw Department of Diabetes & Endocrinology, Bradford Teaching Hospital NHS Trust, Bradford, UK Download Document

Insulin Lysopro (Lys(B28), Pro(B29)) in the treatment of diabetes during the fasting month of Ramadan

J. Akram and V De Verga and the ramadan Study group Download Document

Suggested insulin regimen for patients with Type 1 Diabetes

Who wish to fast during Ramadan (Clinical Therapeutics 2008) Download Document

Repaglinide plus single dose insulin Glargine

A safe regimen for low risk type 2 diabetic patients who insist on fasting in ramadan (Acta Diabelogia 2009) Download Document

Practical Management of Diabetes During Ramadan Fast

Review Article (LjM) Download Document

Glycaemic Trend during Ramadan in fasting Diabetic Subjects: a Study from Pakistan

Pakistan Journal of Biological Sciences (2008) Download Document

Diabetes and Ramadan: Review of the Literature

Diabetes Research and Clinical Practice (2006) Download Document

Ramadan (RCN) Diabetes Guidelines

Examples of Good Practice- Diabetes care during Ramadan. Download Document

Ramadan (JRSM) Diabetes In Ramadan PDF

Click on the link above to download Download Document

Ramadan (Newham PCT) Fasting and Medicines

Fasting and Medicines in Ramadan- Produced by Newham PCT Information for Health Care Professionals 2005 Download Document

Ramadan (DA) Diabetes and Fasting for Muslims

A resource for Healthcare Professional from Diabetes Australia (2005) ( Updated Sept 05) Download Document

Ramadan (ADA) Recommendation for the Management of Diabetes During Ramadan PDF

Click on the link to download Download Document