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Updated: Oct 1, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Management of diabetes during Ramadan]
1med dr, biträdande överläkare, endokrinologiska kliniken, Skånes universitetssjukhus i Lund; Lunds universitet.
Abstract:
Fasting during the month of Ramadan constitutes one of the five pillars of Islam. Islam is the second largest religion in Sweden. Fasting starts as the sun rises and the latest meal intake (Suhoor) is before the sun rises. The first meal intake (Iftar) is at the end of the fasting period, which is at sunset. Based on epidemiological data it is known that a large proportion of persons with diabetes, both type 1 and type 2, fast for at least fifteen days during Ramadan. However, fasting is not recommended in case of type 1 diabetes or in pregnant women with diabetes, neither in people with type 2 diabetes and multiple complications. Guidelines for the management of diabetes during Ramadan are still limited in Sweden. This review aims to summarize the EASD/ADA guidelines regarding the management of people with diabetes before, during and after Ramadan fasting.
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