Ramadan and diabetes: As-Saum (The fasting)

Ramadan, the ninth month of Islamic lunar calendar, is marked by religious ritual of fasting from early dawn till sunset by Muslims. Islam has allowed many categories of people to be exempt totally or temporarily from fasting. Patients with uncontrolled diabetes face possible major metabolic risks i...

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Main Authors: Mohammed Abdul Jaleel, Syed Abbas Raza, Farah Naaz Fathima, Bushra Naaz Fathima Jaleel
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2011;volume=15;issue=4;spage=268;epage=273;aulast=Jaleel
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author Mohammed Abdul Jaleel
Syed Abbas Raza
Farah Naaz Fathima
Bushra Naaz Fathima Jaleel
author_facet Mohammed Abdul Jaleel
Syed Abbas Raza
Farah Naaz Fathima
Bushra Naaz Fathima Jaleel
author_sort Mohammed Abdul Jaleel
collection DOAJ
description Ramadan, the ninth month of Islamic lunar calendar, is marked by religious ritual of fasting from early dawn till sunset by Muslims. Islam has allowed many categories of people to be exempt totally or temporarily from fasting. Patients with uncontrolled diabetes face possible major metabolic risks including hypoglycemia, hyperglycemia with or without the risk of impending ketosis, dehydration, and thrombosis. Diabetics can be stratified into four categories based on their level of risk associated with fasting. The recommended ruling for persons in categories 1 and 2 is that they are prohibited from fasting to prevent harming themselves based on the certainty or the preponderance of probability that harm will occur, whereas the recommended ruling for those in categories 3 and 4 is that they should fast. The strategies to ensure safety of diabetics who are planning to fast include Ramadan-focused patient education, pre-Ramadan medical assessment, following a healthy diet and physical activity pattern, physician-recommended modifications in medication protocol and therapeutic recommendations and checking blood glucose as and when required.
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spelling doaj.art-87cc5550ff2647e48814ca1345a9103f2022-12-22T01:20:05ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002011-01-0115426827310.4103/2230-8210.85578Ramadan and diabetes: As-Saum (The fasting)Mohammed Abdul JaleelSyed Abbas RazaFarah Naaz FathimaBushra Naaz Fathima JaleelRamadan, the ninth month of Islamic lunar calendar, is marked by religious ritual of fasting from early dawn till sunset by Muslims. Islam has allowed many categories of people to be exempt totally or temporarily from fasting. Patients with uncontrolled diabetes face possible major metabolic risks including hypoglycemia, hyperglycemia with or without the risk of impending ketosis, dehydration, and thrombosis. Diabetics can be stratified into four categories based on their level of risk associated with fasting. The recommended ruling for persons in categories 1 and 2 is that they are prohibited from fasting to prevent harming themselves based on the certainty or the preponderance of probability that harm will occur, whereas the recommended ruling for those in categories 3 and 4 is that they should fast. The strategies to ensure safety of diabetics who are planning to fast include Ramadan-focused patient education, pre-Ramadan medical assessment, following a healthy diet and physical activity pattern, physician-recommended modifications in medication protocol and therapeutic recommendations and checking blood glucose as and when required.http://www.ijem.in/article.asp?issn=2230-8210;year=2011;volume=15;issue=4;spage=268;epage=273;aulast=JaleelAs-SaumDiabetes MellitusexemptionIftarrisk-stratificationsafety strategiessuhur
spellingShingle Mohammed Abdul Jaleel
Syed Abbas Raza
Farah Naaz Fathima
Bushra Naaz Fathima Jaleel
Ramadan and diabetes: As-Saum (The fasting)
Indian Journal of Endocrinology and Metabolism
As-Saum
Diabetes Mellitus
exemption
Iftar
risk-stratification
safety strategies
suhur
title Ramadan and diabetes: As-Saum (The fasting)
title_full Ramadan and diabetes: As-Saum (The fasting)
title_fullStr Ramadan and diabetes: As-Saum (The fasting)
title_full_unstemmed Ramadan and diabetes: As-Saum (The fasting)
title_short Ramadan and diabetes: As-Saum (The fasting)
title_sort ramadan and diabetes as saum the fasting
topic As-Saum
Diabetes Mellitus
exemption
Iftar
risk-stratification
safety strategies
suhur
url http://www.ijem.in/article.asp?issn=2230-8210;year=2011;volume=15;issue=4;spage=268;epage=273;aulast=Jaleel
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