Diabetic emergencies including hypoglycemia during Ramadan

Jamal Ahmad; Md Faruque Pathan; Mohammed Abdul Jaleel; Farah Naaz Fathima; Syed Abbas Raza; AK Azad Khan; Osama Ishtiaq; Aisha Sheikh

doi:10.4103/2230-8210.97996

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SOUTH ASIAN GUIDELINES FOR MANAGEMENT OF ENDOCRINE DISORDERS IN RAMADAN

Year : 2012 | Volume : 16 | Issue : 4 | Page : 512-515

Diabetic emergencies including hypoglycemia during Ramadan

Jamal Ahmad¹, Md Faruque Pathan², Mohammed Abdul Jaleel³, Farah Naaz Fathima⁴, Syed Abbas Raza⁵, AK Azad Khan⁶, Osama Ishtiaq⁷, Aisha Sheikh⁸
¹ Rajiv Gandhi Centre for Diabetes and Endocrinology, J. N. Medical College, Aligarh Muslim University, Aligarh, India
² Department of Endocrinology, BIRDEM, Dhaka, Bangladesh
³ Department of Medicine, Bangalore Diabetes Hospital, Vasanthanagar, and AJ Diabetes Care and Polyclinic, BTM Layout, India
⁴ Department of PSM, St. John's Medical College, and Hospital, Bangalore, India
⁵ Department of Endocrinology, Shaukhat Khanum Cancer Hospital and Research Center, Lahore, Pakistan
⁶ President, Diabetic Association of Bangladesh, Bangladesh
⁷ Department of Endocrinology, Shifa International Hospital, Islamabad, Pakistan
⁸ Section of Endocrinology, Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan

Correspondence Address:
Jamal Ahmad
Department of Endocrinology, Director, Rajiv Gandhi Centre for Diabetes & Endocrinology, J. N. Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/2230-8210.97996

Majority of physicians are of the opinion that Ramadan fasting is acceptable for well-balanced type 2 patients conscious of their disease and compliant with their diet and drug intake. Fasting during Ramadan for patients with diabetes carries a risk of an assortment of complications. Islamic rules allow patients not to fast. However, if patient with diabetes wish to fast, it is necessary to advice them to undertake regular monitoring of blood glucose levels several times a day, to reduce the risk of hypoglycemia during day time fasting or hyperglycemia during the night. Patient with type 1 diabetes who fast during Ramadan may be better managed with fast-acting insulin. They should have basic knowledge of carbohydrate metabolism, the standard principles of diabetes care, and pharmacology of various antidiabetic drugs. This Consensus Statement describes the management of the various diabetic emergencies that may occur during Ramadan.

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