title: Management of Type 2 diabetes in Ramadan: Low-ratio premix insulin working group practical advice.
abstract: The challenge of insulin use during Ramadan could be minimized, if people with diabetes are metabolically stable and are provided with structured education for at least 2-3 months pre-Ramadan. Although, American diabetes association (ADA) recommendations 2010 and South Asian Consensus Guideline 2012 deal with management of diabetes in Ramadan and changes in insulin dosage, no specific guidance on widely prescribed low-ratio premix insulin is currently available. Hence, the working group for insulin therapy in Ramadan, after collective analysis, evaluation, and opinion from clinical practice, have formulated a practical advice to empower physicians with pre-Ramadan preparation, dose adjustment, and treatment algorithm for self-titration of low-ratio premix insulin.
authors.affiliation: BC University Health Board, Glan Clwyd Hospital, Wales.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Hassanein
authors.affiliation: Department of Internal Medicine, Etablissement Hospitalo-Universtaire, Oran, Algeria.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Belhadj
authors.affiliation: Professor of Diabetes and Internal Medicine, Alexandria University, Alexandria, Egypt.
authors.forename: Khalifa
authors.initials: K
authors.lastname: Abdallah
authors.affiliation: Department of Endocrinology, Manipal Hospital, Bangalore, Karnataka, India.
authors.forename: Arpan D
authors.initials: AD
authors.lastname: Bhattacharya
authors.affiliation: Department of Endocrinology, GD Diabetes Hospital, Kolkata, West Bengal, India.
authors.forename: Awadhesh K
authors.initials: AK
authors.lastname: Singh
authors.affiliation: Al-Nour Hospital, Mekkah, Saudi Arabia.
authors.forename: Khaled
authors.initials: K
authors.lastname: Tayeb
authors.affiliation: Dasman Diabetes Institute, Dasman, Kuwait.
authors.forename: Monira
authors.initials: M
authors.lastname: Al-Arouj
authors.affiliation: Diabetes Center Benghazi, Benghazi, Libya.
authors.forename: Awad
authors.initials: A
authors.lastname: Elghweiry
authors.affiliation: Department of Endocrinology, University Hospital Ibn Sina - Rabat, Morocco.
authors.forename: Hinde
authors.initials: H
authors.lastname: Iraqi
authors.affiliation: Department of Endocrinology, Chris Hani Baragwaneth Hospital, University of Witwatersrand, Fordsburg, South Africa.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Nazeer
authors.affiliation: National Institute of Nutrition, Tunis, Tunisia.
authors.forename: Henda
authors.initials: H
authors.lastname: Jamoussi
authors.affiliation: Department of Endocrinology, SFAX, Tunisia.
authors.forename: Mouna
authors.initials: M
authors.lastname: Mnif
authors.affiliation: Dubai Hospital, Dubai Health Authority - DHA, Dubai, United Arab Emirates.
authors.forename: Abdulrazzaq
authors.initials: A
authors.lastname: Al-Madani
authors.affiliation: Rashid Centre for Diabetes and Research, Sheikh Khalifa Hospital, Ajman, UAE.
authors.forename: Hossam
authors.initials: H
authors.lastname: Al-Ali
authors.affiliation: Internist, EHM, Hoofddorp, Netherlands.
authors.forename: Robert
authors.initials: R
authors.lastname: Ligthelm
keywords: Hyperglycemia; hypoglycemia; low-ratio premix insulin; ramadan; type 2 diabetes