Managing Diabetes During Ramadan - Expert Recommendations for Fasting
Learn expert guidance on managing diabetes during Ramadan for individuals of various ages and diabetes types. Recommendations are provided for adjusting medication and monitoring glucose levels during the fasting period.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Diabetes and Ramadan Fereidoun Fereidoun Azizi Azizi, M.D. , M.D. Professor of Internal Medicine & Endocrinology Professor of Internal Medicine & Endocrinology Research institute for Endocrine Sciences Research institute for Endocrine Sciences Shaheed Shaheed Beheshti Beheshti University of Medical Sciences University of Medical Sciences Tehran, I.R. Iran Tehran, I.R. Iran
A 58 year diabetic woman is taking 15 mg glibenclamide and 1500 mg metformin daily. Her weight is 75 kg and height=165 cm; FBS=140 and 2hppBS= 195 mg/dl. She wants to observe fasting of Ramadan What are your recommendations?
45 year old diabetic man is on metformin 1500 mg and glibenclamide 10 mg daily. Wt=170 cm and Ht=65 kg; FBS=115 and 2hPPBS=130 mg/dl and HbA1c=6.0%. He wants to fast during Ramadan. What are your recommendations?
17 year old woman, type 1 diabetic, is taking 34 units NPH and 16 units regular insulin before breakfast and 20 and 8 units after supper. SMBG shows FBS 120-180 and 2hppBS 140-220 mg/dl and HbA1c is 6.8%. She insists to observe fasting during Ramadan. What are your recommendations? What if she gave you a history of 3 hypoglycemic episodes in the last 2 weeks?
28 year old diabetic woman on 28 and 12 units in am and 12 and 8 units of NPH and regular, respectively in pm is now 3 month pregnant. SMBG shows FBS 90-120 and 2hppBS 100-140 mg/dl and HbA1c is 5.8%. She states that 2 year ago she fasted during her first pregnancy and had no problem and that her 2 year old boy is totally healthy. She insists that she wants to fast during Ramadan. What are your recommendations?
7 days before the start of Ramadan, a 60 year old man consults you for fasting in Ramadan. He was on metformin 2000 mg daily until 2 months ago when his diabetes became out of control with FBS= 190 mg/dl and HbA1c= 7.8%. Repaglinide 1 mg daily was added. He had to decrease the dose to 0.5 mg, because of late morning hypoglycemia. SMBG shows FBS 60-80 and 2hppBS 95-120 mg/dl. What are your recommendations?
