Ramadan and Diabetes: A Narrative Review and Practice Update
- PDF / 2,929,604 Bytes
- 44 Pages / 595.276 x 790.866 pts Page_size
- 17 Downloads / 204 Views
REVIEW
Ramadan and Diabetes: A Narrative Review and Practice Update Syed H. Ahmed
. Tahseen A. Chowdhury . Sufyan Hussain .
Ateeq Syed . Ali Karamat . Ahmed Helmy . Salman Waqar . Samina Ali . Ammarah Dabhad . Susan T. Seal . Anna Hodgkinson . Shazli Azmi . Nazim Ghouri
Received: June 11, 2020 The Author(s) 2020
ABSTRACT Fasting in the Islamic month of Ramadan is obligatory for all sane, healthy adult Muslims. The length of the day varies significantly in temperate regions—typically lasting C 18 h during peak summer in the UK. The synodic nature of the Islamic calendar means that Digital Features To view digital features for this article go to https://doi.org/10.6084/m9.figshare.12624905. Electronic Supplementary Material The online version of this article (https://doi.org/10.1007/s13300020-00886-y) contains supplementary material, which is available to authorized users. S. H. Ahmed (&) S. T. Seal Department of Endocrinology and Metabolic Medicine, Countess of Chester Hospital NHS Foundation Trust, Chester, UK e-mail: [email protected] S. H. Ahmed School of Medicine, University of Liverpool, Liverpool, UK T. A. Chowdhury Department of Diabetes and Metabolism, Royal London Hospital, London, UK S. Hussain A. Hodgkinson Department of Diabetes and Endocrinology, Guy’s & St Thomas’ NHS Foundation Trust, London, UK S. Hussain Department of Diabetes, School of Life Course Sciences, King’s College London, London, UK
Ramadan migrates across all four seasons over an approximately 33-year cycle. Despite valid exemptions, there is an intense desire to fast during this month, even among those who are considered to be at high risk, including many individuals with diabetes mellitus. In this review we explore the current scientific and clinical evidence on fasting in patients with diabetes mellitus, focussing on type 2 diabetes mellitus and type 1 diabetes mellitus, with brief reviews on pregnancy, pancreatic diabetes, bariatric surgery, the elderly population and current practice guidelines. We also make recommendations on the management of diabetes patients during the month of Ramadan. S. Hussain Institute of Diabetes, Endocrinology and Obesity, King’s Health Partners, London, UK A. Syed A. Karamat A. Helmy Department of Diabetes and Endocrinology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK S. Waqar Nuffield Department of Primary Care Health Sciences, University Oxford, Oxford, UK S. Ali NHS Greater Glasgow and Clyde, Glasgow, UK A. Dabhad Royal Wolverhampton NHS Trust, Wolverhampton, UK
Diabetes Ther
Many patients admit to a do-it-yourself approach to diabetes mellitus management during Ramadan, largely due to an under-appreciation of the risks and implications of the rigors of fasting on their health. Part of the issue may also lie with a healthcare professional’s perceived inability to grasp the religious sensitivities of Muslims in relation to disease management. Thus, the pre-Ramadan assessment is crucial to ensure a safe Ramadan experience. Diabetes patients can be risk-str
Data Loading...
