Suggested insulin regimens for patients with type 1 diabetes mellitus who wish to fast during the month of Ramadan
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Cited by (44)
High HbA1c is not a reason not to fast during Ramadan in Children, adolescents and young adults with Type 1 diabetes – An observational study in Bangladesh
2021, Diabetes Research and Clinical PracticeCitation Excerpt :EPIDIAR, a population-based study conducted among 13 countries, showed that 78.7% of patients with type 2 diabetes (T2DM) and 42.8% of T1DM could fast during Ramadan [9]. Several studies of small populations have suggested that Ramadan fasting can safely be practiced by children and adolescents with stable T1DM with good hypoglycaemic awareness [10–14]. The conditions for safety were pre-fasting medical assessment, focused education, appropriately adjusted insulin regimens, dietary advice, and management the daily activity.
The South Asian Health Foundation (UK) guidelines for managing diabetes during Ramadan
2020, Diabetes Research and Clinical PracticeCitation Excerpt :If the patient is taking insulin or insulin secretagogues (e.g. sulphonylurea), they must be instructed to break the fast if the morning blood glucose is < 70 mg/dL (<3.9 mmol/L) at suhoor [80]. Fasting is contraindicated in people with poorly controlled T1DM, including patients with a history of severe hypoglycaemia and/or diabetic ketoacidosis at least 3 months before Ramadan [81], and guidelines recommend that people with T1DM (even well-controlled) should not fast [37,38,59,75,82]. Taking into account the risks of poor glycaemic control, people with T1DM, on a four times daily basal bolus regimen, must be discouraged from fasting during the month of Ramadan.
The incidence of diabetic ketoacidosis during Ramadan fasting: A 10-year single-centre retrospective study
2019, Diabetes Research and Clinical PracticeCitation Excerpt :Such differences enrich the literature and lend support to the previously published studies suggesting the lack of substantial evidence of enhanced risk of DKA by the changes in lifestyle and medication during Ramadan [7–11]. The results are plausible with the fact that the pathogenesis of DKA requires more than a modest reduction of doses of inulin [12,13], particularly when new insulin preparations of better action profiles [14–16] and more modern modes of delivery such insulin pumps which showed favourable results in children and adults [16–21]. Notwithstanding, pre-Ramadan management education on insulin dose reduction and avoidance night over-eating remains the main focus of pre-Ramadan clinic visits emphasized in the recent guidelines (3–5).
Ramadan and diabetes: What we see, learn and understand from continuousglucose monitoring
2015, Diabetes and MetabolismCitation Excerpt :Thus, it is easy to understand why undesirable changes in body weight are seen in some patients with diabetes and why such people also exhibit poor overnight glycaemic control when additional meals are taken. An abundance of reports in the literature [4,22,24–30] has been devoted to the pharmacological management of diabetic patients who wish to fast during Ramadan, and a patient-centred approach is the most common recommendation made to healthcare professionals. However, when it comes to specific patients, this message is difficult to deliver, as the considerations that should be taken into account are usually general and non-specific.
Diabetes and Ramadan: An update on recent guidelines
2014, Medecine des Maladies MetaboliquesDiabetes and Ramadan
2012, Presse Medicale