[ Nutrition ]

Diabetes during Ramadan – PRE-approach model: Presentation, Risk stratification, Education

Fasting during the holy month of Ramadan forms one of the five pillars of the Muslim faith. Fasting during the holy month of Ramadan as recommended by Islam is observed very strictly among all Muslims across the world. During the Islamic holy month of Ramadan, Muslims are obliged to fast between sunrise and sunset, abstaining from all food and drink during daylight hours. There are 3 million people in the UK with diabetes, and a further 850,000 who have undiagnosed Type 2. The dilemma for physicians and Muslim scholars is whether or not Muslim diabetic patients (1) should be allowed to fast if they decide to; (2) can fast safely; (3) can be helped to fast if they decide to; (4 ) can have their disease monitored at home; and(5) are going to derive any benefit or harm to their health. For a successful Ramadan, what you eat before and after the fast is also very important. Severe hypoglycaemia observed in 29 (1.0%) patients and severe hyperglycaemia noticed in 44 (1.7%) patients with diabetes during Ramadan.

If patients with type 1 diabetes wish to fast, it is necessary to advise them to undertake control of their glycaemia several times a day. “Patients are required to monitor their blood glucose level at regular intervals. Finally, we included 35 publications and remaining 5 were excluded from the study. Despite the hardships, compliance with Ramadan rules is widespread. Fluid should be taken liberally during non-fasting hours. Limit fried foods such as paratha, puri, samosas, chevera, pakoras, katlamas, fried kebabs and Bombay mix. Describe fasting guidelines during Ramadan Discuss nutrition/hydration concerns related to fasting during Ramadan Review studies and information we have related to nutrition and fasting during Ramadan Provide practical tips and tools for educating patients with diabetes during Ramadan.

Conclusion: Dipeptidyl peptidase inhibitors and glucagon like peptide-1 receptor agonists are considered favorable for use during and after Ramadan due to their lower rate of hypoglycemic events and weight neutral/loss effect during and after Ramadan. Diabetic patients who are stable, free of deteriorating complications and able to manage can be allowed to fast.

Tags: , ,