[Treatment of diabetes mellitus during Ramadan].
In the treatment of patients with diabetes mellitus it is fundamental that the therapeutic schemes are adapted to each's patient characteristics such as age, associated diseases and diabetes complications. This therapeutic individualization must also include lifestyles and socio-cultural and religious factors as the celebration of Ramadan. Although Muslin diabetics are theoretically free from Ramadan, they commonly wish to fast in practice. It is therefore needed a right approach of the patient during this period. In this Review, we analyze the prevalence of diabetes among different ethnicities, the possible complications of the disease in relation to fasting's pathophysiology, and the studies performed to rightly manage type 1 and 2 diabetic patients during Ramadan. It is necessary to adapt the therapeutic scheme both for patients treated with dietetic measures or oral drugs and for patients receiving insulin. It is also important the involvement of health professionals in the advice, orientation and adaptation of the therapeutic regimen of Muslin people with diabetes.
Fernández Miró
Mercè
M
Servicio de Endocrinología y Nutrición, Hospital Universitario del Mar (IMAS), Barcelona, España. 95485@imas.imim.es
Goday
Alberto
A
Cano
Juan Francisco
JF
D001835:Body Weight; D003920:Diabetes Mellitus / Q000208:ethnology / Q000628:therapy*; D005215:Fasting; D006693:Holidays; D006801:Humans; D007003:Hypoglycemia / Q000208:ethnology; D007514:Islam; D012307:Risk Factors