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Diabetes Care During Hajj.

Shehla Shaikh1, Hamid Ashraf2, Khalid Shaikh3

  • 1Saifee Hospital, Mumbai, India.

Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders
|October 16, 2020
PubMed
Summary
This summary is machine-generated.

Pilgrims with diabetes mellitus face risks like hyperglycemia and hypoglycemia during Hajj due to diet and activity changes. Pre-travel evaluation, education, medication adjustment, and foot care are crucial for managing diabetes during religious journeys.

Keywords:
DiabetesHajjHyperglycaemiaHypoglycaemiaPilgrim

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Area of Science:

  • Endocrinology
  • Public Health
  • Travel Medicine

Background:

  • Diabetes mellitus impacts over 463 million globally.
  • The Hajj pilgrimage presents unique health challenges for diabetic pilgrims, increasing risks of hyperglycemia and hypoglycemia.
  • Diabetic ketoacidosis, hyperosmolar state, and hypoglycemia-induced complications are observed in pilgrims.

Purpose of the Study:

  • To outline the risks associated with diabetes mellitus during the Hajj pilgrimage.
  • To provide recommendations for managing diabetes in pilgrims undertaking Hajj.
  • To emphasize pre-travel preparation and post-pilgrimage follow-up for diabetic individuals.

Main Methods:

  • Review of existing literature on diabetes management during religious pilgrimages.
  • Analysis of risks including dietary changes, physical exertion, and antidiabetic medications.
  • Recommendations for pre-Hajj biochemical evaluation and patient education.

Main Results:

  • Pilgrims with diabetes are at increased risk of glycemic complications and foot problems.
  • Pre-Hajj assessment, education on medication, sick-day rules, and emergency snacks are vital.
  • Medication adjustments, including reducing insulin and sulfonylurea dosages, and preferential use of basal insulin or GLP-1 agonists are suggested.

Conclusions:

  • Comprehensive pre-travel preparation, including biochemical evaluation and tailored education, is essential for diabetic pilgrims.
  • Specific medication management strategies and foot care are recommended to mitigate risks.
  • Post-Hajj follow-up and medication adjustment are necessary for optimal diabetes control.