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Year : 2011  |  Volume : 15  |  Issue : 4  |  Page : 268-273

Ramadan and diabetes: As-Saum (The fasting)


1 Department of Medicine, Bangalore Diabetes Hospital, Vasanthanagar, and AJ Diabetes Care and Polyclinic, BTM Layout, Bangalore, India
2 Shaukat Khanum Hospital and Research Centre, Lahore, Pakistan
3 Assistant Prof. St. John's Medical College, Bangalore, India
4 Reader, The Oxford Dental College and Hospital, Bangalore, India

Correspondence Address:
Mohammed Abdul Jaleel
No. 102, 1st Cross, 1st Block-East, Jayanagar, Bangalore - 560 011
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.85578

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Ramadan, the ninth month of Islamic lunar calendar, is marked by religious ritual of fasting from early dawn till sunset by Muslims. Islam has allowed many categories of people to be exempt totally or temporarily from fasting. Patients with uncontrolled diabetes face possible major metabolic risks including hypoglycemia, hyperglycemia with or without the risk of impending ketosis, dehydration, and thrombosis. Diabetics can be stratified into four categories based on their level of risk associated with fasting. The recommended ruling for persons in categories 1 and 2 is that they are prohibited from fasting to prevent harming themselves based on the certainty or the preponderance of probability that harm will occur, whereas the recommended ruling for those in categories 3 and 4 is that they should fast. The strategies to ensure safety of diabetics who are planning to fast include Ramadan-focused patient education, pre-Ramadan medical assessment, following a healthy diet and physical activity pattern, physician-recommended modifications in medication protocol and therapeutic recommendations and checking blood glucose as and when required.


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