The South Asian Health Foundation (UK) Guidelines for Managing Diabetes during Ramadan.

Hanif, W and Patel, V and Ali, S N and Karamat, A and Saeed, M and Hassanein, M and Syed, A and Chowdhury, T A and Farooqi, A and Khunti, K (2020) The South Asian Health Foundation (UK) Guidelines for Managing Diabetes during Ramadan. Diabetes research and clinical practice. p. 108145. ISSN 1872-8227.

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Abstract

BACKGROUND

Fasting in the holy month of Ramadan is among the five pillars of Islam and is considered as a religious obligation by the Muslim population. People with diabetes observing the practice of fasts are at a higher risk of complications such as hypoglycaemia, hyperglycaemia and ketoacidosis due to changes in eating patterns and circadian rhythms. With the objective of mitigating these complications, the South Asian Health Foundation (UK) has developed the present guidelines based on robust evidence derived from epidemiological studies and clinical trials.

METHODS

We have highlighted the role of pre-Ramadan risk stratification and counselling by healthcare professionals with emphasis on the need for advice on adequate dietary and fluid intake, blood glucose monitoring and awareness of when to break the fast.

RESULTS

We reviewed the current literature and have given clinically-relevant recommendations on lifestyle modifications and glucose-lowering therapies such as metformin, sulphonylureas, dipeptidyl peptidase-4 inhibitors, sodium glucose co-transporter-2 inhibitors, thiazolidinediones, glucagon-like peptide-1 receptor agonists and insulin.

CONCLUSIONS

An individualised patient-centric treatment plan is essential to not only achieve optimal glycaemic outcomes but also enable people with diabetes to observe a risk-free month of fasting during Ramadan.

Item Type: Article
Subjects: QU Biochemistry
WK Endocrine system. Endocrinology
Divisions: Ambulatory Care > Diabetes
Related URLs:
Depositing User: Jamie Edgar
Date Deposited: 01 May 2020 13:01
Last Modified: 01 May 2020 13:01
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3031

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