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An individualised patient-centric treatment plan is essential to allow both type 1 and type 2 patients to achieve optimal glycaemic outcomes but enable them to observe a risk-free month of fasting during Ramadan. Please refer to specific sick-day rules guidelines in times of illness for drug dose modifications. The IDF-DAR Diabetes and Ramadan Practical Guidelines 2021 seek to improve upon the awareness, knowledge and management of diabetes during Ramadan, and to provide real-world recommendations to health professionals and the people with diabetes who choose to fast. International Diabetes Federation (IDF) and Diabetes and Ramadan (DAR) International Alliance collaborated to form the IDF-DAR Practical Guidelines 2021 to help healthcare providers (HCPs) better manage diabetes in patients fasting during the month-long holy period of Ramadan . The IDF-DAR Diabetes and Ramadan Practical Guidelines 2021 seek to improve upon the awareness, knowledge and management of diabetes during Ramadan, and to provide real-world recommendations to health professionals and the people with diabetes who choose to fast. For adults with type 1 or type 2 diabetes intending to fast, a pre-Ramadan individualized assessment should be performed 1 to 3 months prior to the start of fasting to reduce the risk of hypoglycemia, with maintenance of stable glycemic control [Grade C, Level 3 [13]]. Fasting Ramadan exposes the diabetic patient to major metabolic complications: severe hypoglycemia, hyperglycemia, ketoacidosis and thromboembo-lic complications. A good assessment of the The IDF-DAR Practical Guidelines should enhance knowledge surrounding the issue of diabetes and Ramadan fasting, thereby empowering healthcare professionals to give the most up-to-date advice and the best possible support to their patients during Ramadan. Muslims living with diabetes to safely observe fasting during Ramadan. hypoglycemia, with maintenance of stable glycemic control [Grade C, Level 3 [13]]. The. medically indicated to break the fast [Grade D, Consensus for all]. Practice Guidelines [Grade D, Consensus]. Table 1) [Grade D, Consensus]. Ramadan fasting is one of the five pillars of Islam and is compulsory for all healthy Muslims from puberty onwards. Exemptions exist for people with serious medical conditions, including many The role of optimum diabetes care in form of Ramadan focused diabetes education, flash glucose monitoring system and pre-Ramadan dose adjustments in the safety of Ramadan fasting in high risk patients with diabetes. This page has information for people living with diabetes who are thinking about fasting for Ramadan. Ramadan in 2025 will run from on or around Friday 28 February for 29 or 30 days, ending with Eid al-Fitr, a religious holiday celebrated by Muslims worldwide. Since our last publication about diabetes and fasting during Ramadan (), we have received many inquires and comments concerning important issues that were not discussed in the previous document, including the voluntary 1- to 2-day fasts per week that many Muslims practice throughout the year, as well as the effect of prolonged fasting (more than 18 h a day) in regions far from the equator Fasting during Ramadan can affect your diabetes management. Talk to your doctor before Ramadan to adjust your medication. Test your blood sugar more often – it doesn't break your fast. Know the signs of hypos (low blood sugar) and treat them immediately if they occur, even if it means breaking Since our last publication about diabetes and fasting during Ramadan (), we have received many inquires and comments concerning important issues that were not discussed in the previous document, including the voluntary 1- to 2-day fasts per week that many Muslims practice throughout the year, as well as the effect of prolonged fasting (more than 18 h a day) in regions far from the equator 2020. Fasting the Holy month of Ramadan constitutes one of the five pillars of the Muslim faith. Although there is some evidence that intermittent fasting during Ramadan may be of benefit in losing weight and cardiometabolic risk factors, there is no strong evidence these benefits apply to people with diabetes. INTRODUCTION. Fasting the Holy month of Ramadan may be challenging for the people with diabetes and their care providers due to potentially increased risk of acute complications such as hypoglycemia, hyperglycemia, dehydration and probably diabetic ketoacidosis (DKA), although there is very little evidence that DKA is increased during Ramadan.1 Hence, in 2005, the first statement for The current guidelines are the first diabetes and Ramadan guidelines to combine the input of a large number of experts from 6 continents, including 53 authors and the religious opinion represented by the Mufti of Egypt. The quality of the evidence for all aspects of the guidelines is graded throughout and clearly indicated. According to guidelines from 2016 on how to deal with the Ramadan fasting, Muslims with type 2 diabetes are advised to refrain from fasting if they are defined as high-risk, i.e., have exhibited unbalanced diabetes or suffered from severe hypoglycemia during the three months prior to the Ramadan, as well as Muslims with renal failure or who Fasting the Holy month of Ramadan may be challenging for the people with diabetes and their care providers due to potentially increased risk of acute complications such as hypoglycemia, hyperglycemia, dehydration and probably diabetic ketoacidosis (DKA), although there is very little evidence that DKA is increased during Ramadan. 1 Hence, in Objective This systematic review and meta-analysis assess the effects of Ramadan fasting in adolescents with type 1 diabetes mellitus (T1DM), on blood sugar factors such as hemoglobin A1C and problems caused by its lack of control such as hypoglycemia and DKA, and metabolic outcomes. Methods Electronic databases including MEDLINE, Embase, and SINOMED were searched up to February 13, 2024
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