Guidelines for Diabetics [Archives:2000/49/Health]

Physicians working with Muslim diabetics should employ certain criteria to advise their patients regarding the safety of Ramadan fasting.
The following criteria should be helpful in making such a decision:
A: Forbid fasting in:
1- All brittle insulin dependent diabetic patients
2- Poorly controlled diabetic patients
3- Diabetic patients known to be incompliant in terms of following the advice on diet, drug regimens and daily activities
4- Patients with a history of diabetic ketoacidosis
5- Pregnant diabetic patients
6- Diabetic patients with inter-current infections
7- Elderly patients with any degree of alertness problems
8- Two or more episodes of hypoglycemia and/or hyperglycemia during Ramadan
B)Allow fasting in:
1- Patients who do not have the aforementioned criteria
2- Patients who accept medical advice
C)Encourage fasting in:
* All overweight diabetic patients (except for pregnant or nursing mothers).

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