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Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practice

Ramadan fasting, a month-long annual practice for Muslims, can be challenging for those who have diabetes mellitus with or without associated complications or pre-existing comorbidities, as well as healthcare providers involved in their care. Inadequate preparation for this fasting period can result...

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Autores principales: Zainudin, Sueziani Binte, Yeoh, Ester
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9815170/
https://www.ncbi.nlm.nih.gov/pubmed/33866748
http://dx.doi.org/10.11622/smedj.2021047
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author Zainudin, Sueziani Binte
Yeoh, Ester
author_facet Zainudin, Sueziani Binte
Yeoh, Ester
author_sort Zainudin, Sueziani Binte
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description Ramadan fasting, a month-long annual practice for Muslims, can be challenging for those who have diabetes mellitus with or without associated complications or pre-existing comorbidities, as well as healthcare providers involved in their care. Inadequate preparation for this fasting period can result in increased complications. We reviewed the current practice of Muslims with diabetes mellitus in Singapore who intend to fast during Ramadan, with particular attention on locally available evidence. Adequate preparation for Ramadan fasting, including pre-Ramadan assessment, optimisation of glycaemic control, structured Ramadan-focused diabetes education, medication adjustment, glucose monitoring and test fasting, can lead to benefits in terms of improvements in metabolic control and reduced risk of fasting-related complications in people with diabetes mellitus. While there are ongoing efforts to reduce risk during this period, larger-scale national programmes are needed to avert complications and assess the long-term effects of Ramadan fasting in the local population.
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spelling pubmed-98151702023-01-06 Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practice Zainudin, Sueziani Binte Yeoh, Ester Singapore Med J Review Article Ramadan fasting, a month-long annual practice for Muslims, can be challenging for those who have diabetes mellitus with or without associated complications or pre-existing comorbidities, as well as healthcare providers involved in their care. Inadequate preparation for this fasting period can result in increased complications. We reviewed the current practice of Muslims with diabetes mellitus in Singapore who intend to fast during Ramadan, with particular attention on locally available evidence. Adequate preparation for Ramadan fasting, including pre-Ramadan assessment, optimisation of glycaemic control, structured Ramadan-focused diabetes education, medication adjustment, glucose monitoring and test fasting, can lead to benefits in terms of improvements in metabolic control and reduced risk of fasting-related complications in people with diabetes mellitus. While there are ongoing efforts to reduce risk during this period, larger-scale national programmes are needed to avert complications and assess the long-term effects of Ramadan fasting in the local population. Wolters Kluwer - Medknow 2021-04-19 /pmc/articles/PMC9815170/ /pubmed/33866748 http://dx.doi.org/10.11622/smedj.2021047 Text en Copyright: © 2022 Singapore Medical Journal https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Zainudin, Sueziani Binte
Yeoh, Ester
Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practice
title Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practice
title_full Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practice
title_fullStr Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practice
title_full_unstemmed Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practice
title_short Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practice
title_sort preparing muslims with diabetes mellitus for ramadan fasting in singapore: a clinical approach and review of current practice
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9815170/
https://www.ncbi.nlm.nih.gov/pubmed/33866748
http://dx.doi.org/10.11622/smedj.2021047
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