Zabeen Bedowra, Tayyeb Samin, Benarjee Biplob, Baki Abdul, Nahar Jebun, Mohsin Fauzia, Nahar Nazmun, Azad Kishwar
Department of CDIC, BIRDEM, Dhaka, Bangladesh.
Department of Paediatrics, BIRDEM, Dhaka, Bangladesh.
Indian J Endocrinol Metab. 2014 Jan;18(1):44-7. doi: 10.4103/2230-8210.126530.
Fasting (Sawm) during Ramadan, one of the five pillars of Islam is obligatory for all healthy adult and adolescent Muslims from the age of 12 years. Some children with diabetes, despite their exemption insist on fasting in Ramadan. We evaluated the safety of fasting among children with type 1 diabetes.
A prospective observational study was designed for diabetic children and adolescents who wish to fast during Ramadan 2012. Patients with their caregivers were given intensive education and instructions were provided by diabetic educators, dieticians and physicians on insulin adjustment, home blood glucose monitoring and dietary adjustments prior to Ramadan.
A total of 33 children and adolescents were included in this study. Of these, 16 were male and 17 were female. Majority (60.6%) of the patients could complete their fasting during the Ramadan. Patients were divided into two groups, those who completed fasting were considered as Group-I, whereas patients who broke the fast were in Group-ll. Blood glucose, hemoglobin A1c weight, and insulin dose before and after Ramadan in two groups showed no significant difference.
Children older than 11 years of age with type 1 diabetes mellitus with conventional twice-a-day regimen can fast safely during Ramadan provided they have proper education and intensive follow-up during Ramadan.
斋月期间禁食（封斋）是伊斯兰教五大支柱之一，所有12岁及以上健康的成年和青少年穆斯林都必须遵守。一些患有糖尿病的儿童，尽管可以豁免，但仍坚持在斋月期间禁食。我们评估了1型糖尿病儿童禁食的安全性。
针对希望在2012年斋月期间禁食的糖尿病儿童和青少年设计了一项前瞻性观察性研究。在斋月前，糖尿病教育工作者、营养师和医生对患者及其照顾者进行了强化教育，并就胰岛素调整、家庭血糖监测和饮食调整提供了指导。
本研究共纳入33名儿童和青少年。其中，16名男性，17名女性。大多数（60.6%）患者能够在斋月期间完成禁食。患者分为两组，完成禁食的患者被视为第一组，而破斋的患者在第二组。两组患者斋月前后的血糖、糖化血红蛋白、体重和胰岛素剂量均无显著差异。
11岁以上采用传统一日两次治疗方案的1型糖尿病患儿，只要在斋月期间接受适当的教育和密切随访，就可以安全地禁食。
