Fariduddin M, Mahtab H, Latif Z A, Siddiqui N I
Department of Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Mymensingh Med J. 2011 Jul;20(3):541-6.
Diabetes mellitus is a global epidemic including Bangladesh. It is a chronic, costly and deadly disease. Recent advancement gives us the opportunity to control diabetes and offer the patient to have a normal or near normal life. Fasting during Ramadan is one of the five pillars of Islam. Recent studies show that most of the type-2 diabetic patients can fast during the holy month of Ramadan safely. But they need pre-Ramadan counseling for assessment, education, motivation, dietary and drug adjustment. Ramadan is beneficial for health. Fasting improves metabolic control, reduces weight and helps to control hypertension. Fasting also associated with some risks like-hypoglycemia, diabetic ketoacidosis, hyper osmolar non ketotic coma and dehydration. All of these risks can be significantly reduced by pre-Ramadan counseling. Those who are at very high risks of hypoglycemia and acute diabetic or other complications they should not fast. After recovery they should complete their fast with the consultation of Islamic scholars. If there is hypoglycemia while fasting, fast must be broken. Islam allows us to have a regular blood sugar test during fast. Patient should follow a highly individualized management plan. Close monitoring is essential to prevent complications for safe Ramadan.
糖尿病是一种全球性的流行病，包括孟加拉国在内。它是一种慢性、代价高昂且致命的疾病。最近的进展使我们有机会控制糖尿病，并让患者过上正常或接近正常的生活。斋月期间禁食是伊斯兰教的五大支柱之一。最近的研究表明，大多数2型糖尿病患者可以在斋月这个神圣的月份安全地禁食。但他们需要在斋月前接受咨询，以进行评估、教育、激励、饮食和药物调整。斋月对健康有益。禁食可改善代谢控制、减轻体重并有助于控制高血压。禁食也与一些风险相关，如低血糖、糖尿病酮症酸中毒、高渗非酮症昏迷和脱水。通过斋月前的咨询，所有这些风险都可以显著降低。那些低血糖和急性糖尿病或其他并发症风险非常高的人不应禁食。康复后，他们应在伊斯兰学者的咨询下完成禁食。如果禁食期间出现低血糖，必须打破禁食。伊斯兰教允许我们在禁食期间定期进行血糖检测。患者应遵循高度个性化的管理计划。密切监测对于预防并发症以确保斋月安全至关重要。
