Cpg Insulin During Ramadhan

Download our factsheets about diabetes and Ramadan which include fasting and managing your diabetes during this. For adults with type 2 diabetes needing insulin initiation just prior to or during Ramadan a basal long-acting analog insulin detemir glargine or ultra-long analog insulin degludec glargine U300 may be preferred over intermediate acting basal or premixed insulin options during the fasting month to reduce the risk of hypoglycemia Grade D Consensus.

Oads During Ramadan Cpg T2dm 5th Ed Metformin Ramadan Diabetes

If you have type 1 diabetes youll be using insulin - some patients with type 2 diabetes use this tooInsulin lowers your blood sugar and if you use your normal dose of insulin but are fasting youre at much higher risk of a hypo or episode of low blood sugarThis can cause a variety of symptoms including poor concentration feeling very hungry irritability.

. The ADAEASD 2018 consensus12 13 recommends use of GLP-1RA prior to insulin as a first-line injectable therapy if HbA1c is above target despite dual or triple oral therapy. However there is no consensus on the recommendations for basal insulin adjustments and the utilization of technical features of insulin pumps to improve glycemic. 23 June 2015 Objectives.

T1 - Insulin therapy during Ramadan fast for Type 1 diabetes patients. HHS Hyperglycaemic hyperosmolar state. AU - Zantout M.

This page has information for people living with diabetes who are thinking about fasting for Ramadan. It is important to test your blood glucose levels more often as they may drop too low known as a hypo particularly if you are unwell andor treated with insulin or taking a sulphonyurea eg gliclazide Glimepiride or Glipizide you are at risk of hypoglycaemia hypo as you are missing a. Using CGM or intermittently scanned continuous glucose moni-toring isCGM may facilitate the adjustments of insulin during Ramadan fasting E.

The aim of the practical guide is to assist health care providers particularly primary care physicians in ensuring safe and optimal management of patients with diabetes during periods of fasting as in Ramadan. Fasting Sawn or Roza during the holy month of Ramadan is one of the five pillars of Islam and commemorates the time when the Holy Quran was revealed to Prophet Muhhammad PBUH. However some patients insist on following the fast often without the approval of their physicians.

Ramadan in 2022 will run from on or around Saturday 2 April for 29 or 30 days ending with Eid al-Fitr a religious holiday celebrated by Muslims worldwide. Pre-Ramadan education provides a platform to remind people with diabetes about the importance. Patients who observe the fast should be advised to monitor their blood glucose.

Some of them demonstrated favorable outcomes in reducing hypoglycemia and hyperglycemia. Summary fasting guidelines for Diabetes during Ramadan This summary document has been adapted from the IDF fasting guidelines 2018 and SAHF Guidelines 2020. AU - Azar S.

Type 1 diabetes. It should be mentioned here that insulin pumps have proved to be impressively effective in management of patients with type 1 diabetes who fast during Ramadan. Alternatively 85 of the pre-Ramadan dose may be divided as 70 Ultralente and 30 regular insulin both given in 2 doses 1 at Suhur and 1 at Iftar.

Studies have shown that pre-Ramadan counselling reduces episodes of low blood glucose. N2 - Patients with Type 1 diabetes T1D are normally exempt from the Ramadan fast. Another option is to give 100 of the pre-Ramadan morning dose of 70330 premixed insulin at Iftar and 50 of the usual evening dose at Suhur.

Patients on SU and premixed insulin should consider reducing the dose of either drug or shifting from premix to low-peak basal insulin during Ramadan Grade A. For adults with type 2 diabetes needing insulin initiation just prior to or during Ramadan a basal long-acting analog insulin detemir glargine or ultra-long analog insulin degludec glargine U300 may be preferred over intermediate acting basal or premixed insulin options during the. Dose titration during Ramadan should be based on twice-weekly or weekly glucose monitoring Grade A.

Refer to Summerwinter switching of the Ramadan fasts in people with diabetes living in temperate regions for further guidance. Adjustments of an insulin pump can greatly facilitate reducing the risks of both hypoglycemia caused by prolonged daytime starvation and hyperglycemia due to excessive iftar meal as compared with. Managing injectable therapies including insulin during Ramadan.

AU - Kassem H. Insulin management of type 2 diabetes during Ramadan 1. Risks to be considered during longer fasts Abbreviations.

Various studies have evaluated the safety and efficacy of using insulin pumps during Ramadan. Toring CGM is necessary during Ramadan to minimize the risk of hypoglycemia and detect periods of hyperglycemia B. Monitoring during Ramadan This is important as your blood glucose levels will vary.

In addition the consensus recommends initial combination of GLP-1RA plus insulin if HbA1c 86 mmolmol 10 andor 23. Diabetes and Ramadan. Relevance to those on basal bolus insulin twice daily insulin and sulphonylureas.

The month-long 29-30 day fast is obligatory for all healthy Muslims who have reached puberty. A cornerstone of managing diabetes during Ramadan is patient education which should include information on risks glucose monitoring nutrition exercise and medication. SECTION 7 TARGETS AND MONITORING 42 71 Glycemic targets 72 Monitoring insulin therapy SECTION 8 PROBLEMS WITH INSULIN THERAPY 48 81 Hypoglycemia 82 Weight gain 83 Injection site problems 84 Insulin allergy and hypersensitivity SECTION 9 SPECIAL SITUATIONS 55 91 Sick days 92 Travel 93 Exercise 94 Fasting Ramadan 95 Pregnancy SECTION.

And insulin anti-diabetic therapies during Ramadan in patients with T2DM and in those considered very high risk for example people with T1DM and pregnant women and uses it to generate evidence-based recommendations regarding treatment and any.

Insulin During Ramadan Cpg T2dm 5th Ed Ramadan Insulin Iftar

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