Department of Endocrinology, Sengkang General Hospital, Singapore.
Diabetes Centre, Admiralty Medical Centre; Division of Endocrinology, Department of Medicine, Khoo Teck Puat Hospital, Singapore.
Singapore Med J. 2022 Nov;63(11):633-640. doi: 10.11622/smedj.2021047. Epub 2021 Apr 19.
Ramadan fasting, a month-long annual practice for Muslims, can be challenging for those who have diabetes mellitus with or without associated complications or pre-existing comorbidities, as well as healthcare providers involved in their care. Inadequate preparation for this fasting period can result in increased complications. We reviewed the current practice of Muslims with diabetes mellitus in Singapore who intend to fast during Ramadan, with particular attention on locally available evidence. Adequate preparation for Ramadan fasting, including pre-Ramadan assessment, optimisation of glycaemic control, structured Ramadan-focused diabetes education, medication adjustment, glucose monitoring and test fasting, can lead to benefits in terms of improvements in metabolic control and reduced risk of fasting-related complications in people with diabetes mellitus. While there are ongoing efforts to reduce risk during this period, larger-scale national programmes are needed to avert complications and assess the long-term effects of Ramadan fasting in the local population.
斋月禁食是穆斯林的一项为期一个月的年度习俗，对于那些患有糖尿病及其相关并发症或既有合并症的人，以及参与他们护理的医疗保健提供者来说，可能具有挑战性。如果对这个禁食期准备不足，可能会导致并发症增加。我们回顾了新加坡计划在斋月期间禁食的糖尿病穆斯林的当前做法，特别关注当地现有的证据。充分准备斋月禁食，包括斋月前评估、血糖控制优化、结构化的斋月糖尿病教育、药物调整、血糖监测和空腹检查，可以改善代谢控制，并降低糖尿病患者与禁食相关的并发症风险。虽然目前正在努力降低这期间的风险，但需要更大规模的国家计划来避免并发症，并评估斋月禁食对当地人群的长期影响。
