Diabetes management during Ramadan amid Covid-19 pandemic

Daru : Journal of Faculty of Pharmacy, Tehran University of Medical Sciences
Ali TooteeBagher Larijani

Abstract

Management of fasting patients with diabetes during Ramadan has always posed a great challenge on clinicians. This year, Ramadan has coincided with the Covid-19 pandemic which per se can complicate diabetes care. Although patients with diabetes should be generally discouraged from fasting, those who insist to fact during the current Covid-19 pandemic should undergo strict risk assessment and receive thorough education. In patients with type 2 diabetes, administered antidiabetics and their dose should be modified to minimize the risk of hypoglycemia and dehydration. In type 1 diabetic patients, insulin dose and it timing should be precisely calculated based on regular and rigorous blood glucose monitoring. Nonetheless, it would be prudent to generally discourage patients with diabetes form fasting this Ramadan to avoid the risk of life-threatening complications such severe dehydration and ensuing kidney damage.

References

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Dec 12, 2007·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Christopher R DeWittJavier C Waksman
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Jul 25, 2020·The Lancet. Diabetes & Endocrinology·Stefan R BornsteinBarbara Ludwig

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Citations

Sep 19, 2020·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Ozra Tabatabaei-MalazyBagher Larijani
Aug 1, 2020·Daru : Journal of Faculty of Pharmacy, Tehran University of Medical Sciences·Maryam Amini PouyaKayvan Mirnia
Jan 4, 2021·Daru : Journal of Faculty of Pharmacy, Tehran University of Medical Sciences·Shahrzad MohseniBagher Larijani

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