Diabetes control during Ramadan fasting

Abstract

For diabetic patients, fasting during Ramadan, the ninth month of the Islamic calendar, can cause wide fl uctuations in blood sugar levels, posing a medical challenge for patients and physicians and increasing the risk of acute metabolic complications including hypoglycemia, hyperglycemia, diabetic ketoacidosis, dehydration, and thrombosis. Proper patient education, risk stratifi cation, and modifi cation of antidiabetic medications can reduce the risk of complications.