Insulin therapy in ramadan
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 3
Abstract
Ramadan is one of the five main pillers of islam . A significant proportion of muslim patients with diabetes fast in Ramadan are either already on insulin or may be started (naïve), presenting a challenge for the management to the healthcare providers as these patients have a very high risk of developing complications because of marked variability in meal and fluid intake during Ramadan. The Ramadan fast usually consist of a fasting period which can extend upto 9-12 hours. Once the fast is broken, it is followed by a heavy carbohydrate and fat rich evening meals. Excessive decrease of insulin dose during fasting can precipitate hyperglycemia and DKA and relatively higher dose can lead to hypoglycemia. However, fasting during Ramadan for patients with diabetes mellitus is feasible, provided there is good pre-Ramadan glycemic control, proper education regarding fast during Ramadan and a good coordination between the healthcare provider and the patients is maintained throughout the fasting period and also subsequently. Monitoring of blood glucose for dose adjustment and prevention of glycemia excursions are dealt with. Insulin regimens should be tailored to meet individuals needs of a patients in Ramadan. This chapter emphasizes on the importance of prerequisite of insulin, type of insulin, its strategies during Ramadan.
Authors and Affiliations
Sarita Bajaj, Ankit Singh
Keywords
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