Badshah Aliena, Haider Iqbal, Humayun Mohammad
Department of Medicine Khyber Teaching Hospital Peshawar, Pakistan.
J Ayub Med Coll Abbottabad. 2018 Oct-Dec;30(4):596-602.
Ramadan, the ninth month of Islamic calendar brings alongwith it a sense of responsibility to fast among the Muslim adult population. Though patients with chronic illnesses like Diabetes mellitus are exempted from fasting during the month if their health does not allow, they still wish to fast. This creates a challenge for the health care professionals to enable the patients with Diabetes mellitus to fast safely, without developing complications like hypoglycemia, hyperglycemia, ketoacidosis and thrombosis. This article has reviewed multiple articles published over last two decades to develop a consensus plan regarding management of Diabetes mellitus in Ramadan. Insulin sensitizers are a better option than drugs increasing secretion of insulin. Type 2 Diabetic patients can fast much safely as compare to Type 1 Diabetics.
斋月是伊斯兰历的第九个月，它让成年穆斯林群体产生了一种禁食的责任感。尽管患有糖尿病等慢性病的患者如果健康状况不允许，在斋月期间可免于禁食，但他们仍希望禁食。这给医护人员带来了一项挑战，即要让糖尿病患者能够安全禁食，而不出现低血糖、高血糖、酮症酸中毒和血栓形成等并发症。本文回顾了过去二十年发表的多篇文章，以制定一项关于斋月期间糖尿病管理的共识计划。胰岛素增敏剂比增加胰岛素分泌的药物是更好的选择。与1型糖尿病患者相比，2型糖尿病患者禁食要安全得多。
