title: [Diabetic ketoacidosis during the Ramadan fast].
abstract: We report a 15-year-old Muslim boy with insulin-dependent diabetes mellitus (IDDM) who presented with diabetic ketoacidosis (DKA) during the Muslim Ramadan month of day-time fasting. DKA apparently occurred due to omitting pre-lunch insulin combined with dehydration and overeating during the permitted sunset-to-sunrise meals. It is well-known that fasting accelerates development of lipolysis and ketosis and increases glucagon levels. Thus, these pathophysiological aberrations related to fasting in ketosis-prone patients, in conjunction with fasting, endanger metabolic control in IDDM.
authors.affiliation: Dept. of Medicine A, HaEmek Medical Center, Afula.
authors.forename: I
authors.initials: I
authors.lastname: Friedrich
authors.forename: Y
authors.initials: Y
authors.lastname: Levy
mesh_terms: D000293:Adolescent; D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology*; D016883:Diabetic Ketoacidosis / Q000209:etiology*; D005215:Fasting / Q000009:adverse effects*; D005247:Feeding Behavior; D006801:Humans; D007514:Islam; D007557:Israel; D008297:Male