Importance of Pre-Ramadan Diabetes Assessment for Safe Fasting

核心概念

Pre-Ramadan diabetes assessment is crucial for safe fasting during Ramadan.

摘要

The content emphasizes the importance of assessing individuals with diabetes before Ramadan to ensure safe fasting practices. Dr. Mohamed Hassanein highlights the significance of proper guidance from healthcare professionals for individuals with type 2 diabetes to fast safely during Ramadan. The collaboration between the International Diabetes Federation and the Diabetes & Ramadan International Alliance (DAR) has led to updated guidelines and a risk stratification app to support individuals with diabetes during fasting. The content discusses the risks associated with fasting for individuals with type 1 and type 2 diabetes, with a focus on the higher risk faced by those with type 2 diabetes. Recommendations include risk assessment through the DAR app, with advice to refrain from fasting for high-risk individuals. Complications such as hypoglycemia, hyperglycemia, diabetic ketoacidosis, dehydration, and thrombosis are highlighted, emphasizing the need for individualized risk assessment based on various factors. The content also mentions the endorsement of risk assessment guidelines by Islamic clerics and provides insights from a 2020 survey on Muslims with diabetes. Treatment recommendations and the importance of stable medication dosages before Ramadan are discussed, along with the need for further research to optimize diabetes management during fasting.

統計資料

"Results from a global survey of Muslims with diabetes in 2020 showed that 30% of those with type 1 diabetes did not do any fasting during Ramadan."
"The results showed that 72% of survey participants had to interrupt their 30 days of daily fasting for at least 1 day because of a diabetes-related event."
"About 7% required hospitalization or an emergency department visit, and 16% developed at least one episode of daytime hypoglycemia."

引述

"With correct advice and support, most people with type 2 diabetes can fast safely during Ramadan." - Mohamed Hassanein
"We need more randomized clinical trials. We need more [data and evidence] for every single aspect of management." - Mohamed Hassanein

從以下內容提煉的關鍵洞見

Education Before Ramadan Key to Safe Fasting With Diabetes

by Mitchel L. Z... 於 www.medscape.com 07-06-2023

https://www.medscape.com/viewarticle/994048

深入探究

How can healthcare systems improve pre-Ramadan education for individuals with diabetes?

Healthcare systems can enhance pre-Ramadan education for individuals with diabetes by implementing targeted educational programs that focus on the specific needs and risks associated with fasting during Ramadan. These programs should involve knowledgeable healthcare professionals who can provide personalized advice and support to individuals with diabetes. Additionally, the use of tools such as risk stratification apps, like the one developed by the Diabetes & Ramadan International Alliance, can help individuals assess their risk levels and access educational materials tailored to their needs. By offering comprehensive and culturally sensitive education before Ramadan, healthcare systems can empower individuals with diabetes to fast safely while managing their condition effectively.

What are the potential drawbacks of refraining from fasting for high-risk individuals with diabetes?

Refraining from fasting for high-risk individuals with diabetes may lead to feelings of exclusion or guilt, as fasting during Ramadan is a significant cultural and religious practice for many Muslims. Additionally, individuals who are advised not to fast due to their high risk status may experience social pressure or judgment from their community. This can result in emotional distress and a sense of isolation during a time that is meant to be communal and spiritually significant. Furthermore, not fasting may impact an individual's sense of identity and connection to their faith community, potentially leading to feelings of alienation. It is essential for healthcare providers to address these psychosocial aspects when advising high-risk individuals with diabetes on fasting during Ramadan.

How can cultural and religious beliefs impact the management of diabetes during Ramadan fasting?

Cultural and religious beliefs play a significant role in the management of diabetes during Ramadan fasting. For many individuals, fasting during Ramadan is a deeply ingrained religious practice that holds spiritual significance and fosters a sense of community and solidarity. As such, individuals with diabetes may feel a strong desire to participate in fasting to fulfill their religious obligations and maintain a sense of belonging within their cultural and religious community. However, these beliefs can sometimes conflict with the medical advice provided by healthcare professionals, leading to challenges in managing diabetes effectively during Ramadan. Healthcare providers must approach these situations with cultural sensitivity and understanding, taking into account the individual's beliefs and values while also prioritizing their health and well-being. By engaging in open and respectful communication, healthcare providers can work collaboratively with individuals with diabetes to develop personalized management plans that align with their cultural and religious beliefs while ensuring their safety and health.