In the Ramadan month of the Islamic lunar calendar, all healthy Muslims are obligated to fast for a month. However, people with serious health complications, such as diabetes are exempted from fasting. Despite medical advice to restrict fasting in diabetic patients, there is always a strong urge among them to perform this religious ritual.
This is of particular concern since fasting by type 1 and 2 diabetic patients can lead to excessive glycogenolysis and gluconeogenesis , thereby, resulting in an increased risk of hypoglycaemia , hyperglycaemia , and diabetic ketoacidosis . Therefore, proper disease management is of utmost importance at the time of Ramadan. To address this issue, the I nternational Diabetes Federation (IDF) and Diabetes and Ramadan (DAR) International Alliance have come together to establish comprehensive guidelines based on evidence-based practical management instead…
