Ramadan Fasting: Medical Aspects in Health and in Disease

Sulimani, Riad A.

doi:10.5144/0256-4947.1991.637

Cited by 19 publications

(11 citation statements)

References 17 publications

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“…The two main meals are commonly known as Iftar and Suhur as they tend to retain their original names in Arabic. The Iftar (breaking the fast) is taken after sunset, and Suhur (predawn meal) usually taken just before dawn (2,3).…”

Section: Introductionmentioning

confidence: 99%

Experience with diabetic adolescents observing ramadan fasting

Musleh

Beshyah

Awad

et al. 2015

Ibnosina Journal of Medicine and Biomedical Sciences

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Background and Aims: Fasting during the holy month of Ramadan is an obligatory duty for all healthy adult Muslims. Fasting can be a major challenge for adolescents with type 1 diabetes mellitus (T1DM) as they have to keep good glycemic control to avoid complications. Limited data was published regarding the safety of fasting Ramadan in adolescent patients with T1DM. We have therefore conducted this study addressing the question “Can adolescents with T1DM fast safely during the Holy month of Ramadan, without getting significant hypo/hyperglycemia?” Patients and Methods: This is an observational, prospective, single center study, conducted during Ramadan 2013. Twenty-three patients were observed (7 males, 16 females). Median age was 14 years. All of them had T1DM, and were planning to observe the fast during Ramadan. They were provided with dairies to be filled by the parents or the adolescents themselves (with parental supervision), indicating the days they fasted/didn't fast, and the reasons for not fasting e.g. hypoglycemia, hyperglycemia, menstrual period, sickness or other reasons. Patients were also asked to record the blood glucose readings and their insulin doses on daily basis. They were asked to bring their folders back to the Diabetic clinic after Ramadan. Outcome measures obtained included the percentages of the days fasted/not-fasted, the reasons for not fasting, HbA1c changes, and a comparison between patients on multiple daily injections and those on insulin pump. Moreover, we studied the relationship between the number of days not-fasted due to diabetes related issues and the HbA1c before Ramadan. Results: Patients were able to fast 79.9% of the total days eligible for fasting, while 20.1% of the days were not fasted due to either hypoglycemia (29.1%), hyperglycemia (19.4%) or other reasons (51.5%). None of the patients developed severe hypoglycemia or diabetic ketoacidosis. There was a mild increment in mean HbA1c after Ramadan (from 8.3% to 8.5%). The patients on insulin pump tended to fast more days than those taking multiple daily injections (82.8% versus 77.3% out of the total eligible days). Patients who had able to fast more days without diabetes related problems tended to have had a marginally better glycemic control before Ramadan (8.3% versus 8.7%). Conclusions: Adolescent patients with T1DM wishing to fast during the holy month of Ramadan may contemplate doing this under medical supervision. The use of insulin pump therapy may help patients to fast more easily and have better control. Adequate education and good glycemic control prior to Ramadan is associated with better outcome.

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Section: Introductionmentioning

confidence: 99%

Experience with diabetic adolescents observing ramadan fasting

Musleh

Beshyah

Awad

et al. 2015

Ibnosina Journal of Medicine and Biomedical Sciences

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show abstract

“…Certain studies have attempted to correlate religious fasting and possible health benefits. [14][15][16] Clinical and biochemical effects of fasting among diabetics have been studied before but the results have not been conclusive. Studies have reported substantial weight loss, signs of dehydration, raised serum concentrations of uric acid and cholesterol during Ramadan.…”

Section: Effect Of Ramadan Fasting On Anthropometric Measures and Metmentioning

confidence: 99%

Effect of Ramadan Fasting on Anthropometric Measures and Metabolic Profiles among Type 2 Diabetic Subjects

Paul¹,

Khan

Fariduddin

2015

J Enam Med Col

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54.7 ± 11.55 (range 35-80) years and mean duration of diabetes was 5.5 ± 5.2 years (range 9 months-18 years). In this study mean weight of the patients decreased significantly from 60.5 ± 12.6 kg to 58.5 ± 11.3 kg (p<0.001). Blood pressure reduced but not significantly. Fasting blood glucose showed significant reduction from 10.7 ± 4.2 to 8.9 ± 3.7 mmol/L (p=0.002) Fasting in Ramadan is one of the five pillars of Islam. During this month all adult Muslims abstain not only from eating, drinking, smoking and sexual relations but also from oral drug intake and nutritional intravenous injection from sunrise (dawn) to sunset. 1 Diabetes is a metabolic disorder characterized by high level of blood glucose resulting from defects in insulin production and/or insulin action.

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“…For patients with type 2 diabetes RF was considered by some authors as safe (especially for the well controlled), 6 but the author would like to stress that little is known with any certainty about clinical problems during RF especially in disease. The published studies are full of controversies.…”

Section: Ramadan Fasting (Rf)mentioning

confidence: 99%

Islamic pillars: possible adverse effects on diabetic patients

Ahmed

2000

Pract Diab Int

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Ramadan Fasting: Medical Aspects in Health and in Disease

Cited by 19 publications

References 17 publications

Experience with diabetic adolescents observing ramadan fasting

Experience with diabetic adolescents observing ramadan fasting

Effect of Ramadan Fasting on Anthropometric Measures and Metabolic Profiles among Type 2 Diabetic Subjects

Islamic pillars: possible adverse effects on diabetic patients

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