From Aligarh Muslim U-India: Diabetic emergencies including hypoglycemia during Ramadan

http://www.ncbi.nlm.nih.gov/pubmed/22837906

Indian J Endocrinol Metab. 2012 Jul;16(4):512-5.

Diabetic emergencies including hypoglycemia during Ramadan.

Ahmad J, Pathan MF, Jaleel MA, Fathima FN, Raza SA, Khan AK, Ishtiaq O, Sheikh A.

Source

Rajiv Gandhi Centre for Diabetes and Endocrinology, J. N. Medical College, Aligarh Muslim University, Aligarh, India.

Abstract

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.