diabetes during ramadhan - INTRODUCTION Fasting the Holy month of what happens if gestational diabetes goes untreated Ramadan may be challenging for the people with diabetes and their care providers due to potentially increased risk of acute complications such as hypoglycemia hyperglycemia dehydration and probably diabetic ketoacidosis DKA although there is very little evidence that DKA is increased during Ramadan1 Hence in 2005 the first statement for Fasting during Ramadan is one of the five pillars of Islam and is obligatory for all healthy Muslims from the age of puberty Though individuals with some illness and serious medical conditions including some people with diabetes can be exempted from fasting many will fast anyway It is of paramount importance that people with diabetes that fast are given the appropriate guidance and Caring for Muslim Patients Who Fast During Ramadan AAFP Ramadan fasting is one of the five pillars of Islam and is compulsory for all healthy Muslims from puberty onwards Exemptions exist for people with serious medical conditions including many with diabetes but a large number will participate often against medical advice Ensuring the optimal care of these patients during Ramadan is crucial Diabetes management plan during Ramadan Review management plan and adjusting treatment regimen is required during Ramadan to avoid hypoglycemic and hyperglycemic events Suboptimal adherence to medication fear of hypoglycemia medication adverse effects and lack of access to medication should be identified and addressed prior to Ramadan fasting Recommendations for Management of Diabetes During Ramadan Diabetes and Ramadan Practical guidelines 2021 Recommendations for management of diabetes during Ramadan update 2020 According to the EPIDIAREpidemiology of Diabetes and Ramadan study on 12243 Muslims from 13 different countries approximately 43 of Type 1 Diabetes patients and 79 of Type 2 Diabetes patients fast bab orang diabetes every year during Ramadan The Epidemiology of Diabetes and Ramadan EPIDIAR study showed significant increase in all forms of hypoglycemia among people with diabetes during Ramadan fasting 79 Diabetes selfmanagement education and support DSMES for prevention and treatment could serve as a good tool to minimize the hypoglycemic episodes during Ramadan fasting Patients with diabetes especially those with type 1 diabetes who fast during Ramadan are at increased risk for development of diabetic ketoacidosis particularly if their diabetes is poorly controlled before Ramadan In addition the risk for diabetic ketoacidosis may be further increased due to excessive reduction of insulin dosages based Diabetes and Ramadan Practical guidelines Recommendations for management of diabetes during Ramadan update 2020 Managing diabetes during Ramadan the management of diabetes during Ramadan This panel met on several occasions and extensive literature searches for studies related to diabetes and Ramadan fasting were conducted Relevant publications were identified and results from pertinent clinical studies see supplementary information for details were used to develop the PDF Recommendations for management of diabetes during Ramadan update 2020 The Diabetes and Ramadan International Alliance confirm that pricking the skin for blood glucose testing does not invalidate the fast Safety tip If you feel unwell at any time during Ramadan check your BGL and be prepared to break the fast to treat a hypo BGL less than 4mmolL or manage hyperglycaemia BGL more than 15mmolL Ramadan and Diabetes Guide To Diabetes Management During Ramadan Diabetes and Ramadan Practical guidelines Worldwide an estimated 40 to 50 million patients with diabetes fast during Ramadan including nearly onehalf of those with type 1 diabetes and most of those with type 2 lila moss diabetes diabetes 1 3 Patients
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