Whom not to allow fast for people with diabetes during Ramadan (Short Communication)

İngilizce (OpenAlex)

Fasting is much appreciated in people with diabetes, however Ramadan intermittent fasting is a special observance being performed one month duration each and every year in muslim populations for religious purposes. International Diabetes Federation Diabetes and Ramadan (IDF-DaR) Alliance group established several guidelines in order to determine risk stratification in this group with respect to the evidence based published data. Epidemiologic reports indicate that both hypoglycaemia and hyperglycaemia are increased. Meanwhile structured pre-ramadan education for people who were willing to fast had less occasions of aforementioned acute complications. Guidelines today advice healthcare professionals not to allow fast for their patients with diabetes if each of the following does occur: unawareness of hypoglycaemia, unstable cardiac condition, GFR less than 30 ml/min, pregnancy, fraility with age over 70 and having loss of cognitive functions.