17/02/2025
https://www.researchgate.net/publication/351125518_Management_of_Diabetes_in_Individuals_with_Diabetes_who_are_Fasting_During_Ramadan
Fasting, which is important in many religions, is also one of the five pillars of Islam. During the month of Ramadan, Muslims do not eat, drink, smoke, and abstain from sexual activity from dawn to sunset. The month of Ramadan lasts for 29-30 days and the fasting period ranges from 10 to 20 hours depending on geographic location. The condition for fasting is to be healthy and have no chronic illness. However, with the thought that it is a religious obligation and will provide spiritual benefit, most individuals with chronic diseases also want to fast. Diabetes mellitus (DM) is considered a high-risk condition for fasting in Ramadan, as it is a chronic metabolic disease and carries risks such as hypoglycemia, hyperglycemia, dehydration, and coagulopathy during fasting. Fear of hypoglycemia is a common problem during fasting on the holy month of Ramadan. However, in clinical practice, most individuals with DM prefer to fast. Therefore, healthcare professionals must provide education sessions to protect individuals with DM against various risks and help prevent hypoglycemic as well as hyperglycemic events. This review has been prepared for health professionals in order to make recommendations such as dose adjustments, risk stratification, diabetes patient education, updating pharmacotherapy, and how to make blood glucose monitoring according to the recommendations of the guidelines for adults with type 1 and type 2 DM who plan to fast during Ramadan.