Insulin Pump Therapy in Moslem Patients with Type 1 Diabetes During Ramadan Fasting: An Observational Report

Abstract

Fasting during Ramadan is feasible in patients with type 1 diabetes using an insulin pump, with adequate counseling and support.

Blood Glucose Fluctuation During Ramadan Fasting in Adolescents With Type 1 Diabetes: Findings of Continuous Glucose Monitoring

“…Our findings are similar to the findings of other studies (2)(3)(4) in that the majority of patients with T1D could fast 15 or more days during Ramadan. Nonetheless, symptomatic hypoglycemia was reported and resulted in breaking the fast in 15% of the days.…”

Diabetes and Ramadan: Practical guidelines

“…Two small observational studies reported that patients taking ultralente or insulin lispro could fast without experiencing severe hypoglycaemic episodes [61,62]. More recent studies in patients using insulin pumps reported no cases of severe hypoglycaemia, although some episodes of hypoglycaemia required the fast to be broken and adjustments to the basal rate were needed [63,64]. If patients with T1DM insist on fasting, then the recommended adjustments to insulin medication and/or dosing regimen during Ramadan are outlined in Fig.…”

Ramadan and diabetes: As-Saum (The fasting)

“…Insulin pumps used in carefully selected educated type-1 diabetics could be very effective in enabling them to fast safely in Ramadan. [3132] Insulin: Type 2 diabetics in good health, with reasonably good diabetic control and free from advanced complications, and requiring insulin alone or in combination with oral medications, may undertake Ramadan fasting. Generally speaking, long acting basal insulin is advised at Iftar times, and supplemented by short-acting insulin at Suhur times.…”