Wednesday 10 April 2019

Management of Diabetes Mellitus in Islamic Fasting





     ·       There are around 1.6 billion Muslims live across the world.
     ·       Among them, 90 million Muslims are affected by diabetes.
     ·       More than 50 million diabetic Muslims undergo month-long fasting during Ramadan. All of them should be prepared at least a month before, to avoid complications.
     ·       Risks associated with fasting in diabetes, include
Ø Hypoglycemia
Ø Hyperglycemia
Ø Diabetic ketoacidosis
Ø Hypovolemia
Ø Thrombosis
     ·       Strategies to Enhance the Safety of Ramadan Fasting in Diabetic Patients, include
Ø Ramadan focused diabetes education
Ø Medical assessment before Ramadan
Ø Physician-recommended modifications in their medication protocol
Ø Adherence to a healthy diet
Ø Physical activity
Ø Blood glucose monitoring
     ·       Recommendations to Prevent the Risk of Adverse Events, include
Ø Consult healthcare providers at least one month prior to Ramadan
Ø Avoid skipping of Sahur
Ø Avoid large meals at Iftar and Sahur
Ø Avoid strenuous physical exercise during fasting hours
Ø Frequent SMBG, and regular recording of blood glucose readings
     ·       Role of General practitioners
Ø PHC Physicians are recommended to attend workshops, conferences, and meetings in order to receive training on the effective and safe management of diabetes during Ramadan
     ·    Role of Pharmacists
Ø Hospital and community pharmacists needed to receive training on diabetes management during Ramadan
Ø CPE programs on the management of diabetes during Ramadan should target practicing pharmacists