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Ramadan fasting in diabetes-exercise in problem-solving.

Banshi Saboo1

  • 1Diabetes Care & Hormone Clinic, India.

Diabetes & Metabolic Syndrome
|September 26, 2017
PubMed
Summary
This summary is machine-generated.

Managing type 2 diabetes (T2DM) during Ramadan requires careful medication adjustment and patient education. This case study shows improved glycemic control and microalbuminuria with extended-release gliclazide in a fasting patient.

Keywords:
Diabetes managementFastingRamadan

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Area of Science:

  • Endocrinology
  • Metabolic Diseases
  • Clinical Pharmacy

Background:

  • Type 2 Diabetes Mellitus (T2DM) management during Ramadan presents unique challenges for patients with comorbidities.
  • Fasting during Ramadan necessitates careful consideration of antidiabetic medication regimens to prevent adverse events like hypoglycemia.

Observation:

  • A 45-year-old male patient with T2DM, uncontrolled A1c (8.3%), and comorbidities was treated with metformin and glimepiride.
  • Prior to Ramadan fasting, glimepiride was switched to extended-release gliclazide (60mg).

Findings:

  • The medication adjustment led to improved glycemic control and reduced microalbuminuria.
  • No hypoglycemic episodes were reported during the fasting period with the new regimen.

Implications:

  • Risk stratification and individualized medication adjustment are crucial for safe Ramadan fasting in T2DM patients.
  • Ramadan-specific diabetes education is essential for optimizing outcomes and ensuring patient safety.