Risks associated with Ramadan fasting in diabetic patients include hypoglycaemia, hyperglycaemia, ketoacidosis, dehydration and thrombosis. Therefore frequent monitoring of blood glucose is essential.
Diabetes and Ramadan practical guidelines
What you will learn:
- The impact of fasting during Ramadan on the physiology of individuals with diabetes
- How these changes can be mitigated by the adaption of approved Ramadan Nutrition Plan (RNP) specifically adapted to South African patients’ needs
- The stratification of risk individual patients developed the International Diabetes Federation (IDF) and the Diabetes Ramadan Alliance (DaR)
- How to modify oral antidiabetic therapy during Ramadan
- Adaption of insulin treatment regimens to maintain control of diabetes and minimise risks
The IDF/DaR guidelines are reviewed by Dr Hoosen Randeree, Consultant Endocrinologist at Parklands Medical Centre (Durban) in a 30-minute video.
Earning CPD points
Having viewed this module and successfully completed the accompanying questions, 3 CEUs will be issued. This module is fully accredited by the University of Pretoria
Read and watch below to complete the CPD questions
- International Diabetes Federation
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1. Ramadan fasting from pre-dawn to dusk, in a diabetic patient results in changes in:
2. Pre-Ramadan assessment of diabetic patients includes:
3. In the CREED study of Muslim patients with T2DM, what percentage fasted for at least 15 days during the month of Ramadan?
4. At the time of breaking the fast in the evening (after iftar) in diabetic patients, which of the following occurs?
5. Which of the following patients do NOT fall into the DAR International Alliance definition of high-risk patients (category 2)?
6. Patient education for all diabetics to minimise complications needs to include:
7. The IDF-DAR guidelines stratify diabetes patients into very high risk, high risk and moderate/low risk. Which of the following are NOT at moderate/low risk?
8. The IDF-DAR Practical Guidelines for managing diabetes in Ramadan have been accepted by both healthcare professionals and religious leaders.
9. At what blood glucose levels should patients be advised to break their fast?
10. Ramadan-focused diabetes education, as performed in the READ study, resulted in:
11. Which of the following statements are INCORRECT?
12. Few studies are available on the SGLT-2 inhibitors, the advice is:
13. With regard to insulin use in diabetes, which of the following is FALSE?
14. If the diabetic patient on a single dose of basal insulin wants to fast, what regimen is most appropriate?
15. If the patient is on a twice-daily premixed insulin dose, which of the following adjustments are most appropriate