Ramadan fasting and diabetes: view with case reports

Abstract

Apart from Islam, Christianity, Judaism, and many other religions such as Hinduism, Buddhism have fast worship, and Christians also have worship in certain periods of the year as in Islam. It is estimated that 1.5 billion people fasted all over the world during Ramadan. According to the countries and the fasting season, the period of fasting can vary between 9-21 hours. Some patients are told that they should not consult fasting physicians and fasting under physician control, or that some patients should not fast by the physician. But most importantly, some patients are fasting without medication consultation and face serious health problems. As the studies about fasting increase, many studies have shown that many patients can safely fast by physician control and regular follow-ups. We also wanted to share the follow-up results of three types of diabetic patients reporting fasting and fasting in this article at their own discretion.

Keywords

• Ramadan,fasting,diabetes

Oruç ibadeti ve diyabet: olgu örnekleriyle bakış

Abstract

İslamiyet dışında Hıristiyanlık, Yahudilik gibi semavi dinlerde ve Hinduizm, Budizm gibi daha pek dinde oruç ibadeti vardır ve Hıristiyanlarda da İslamiyet’te olduğu gibi yılın belli dönemlerinde farz ibadet olarak geçmektedir. Tüm dünyada Ramazan ayında 1,5 milyar kişinin oruç tuttuğu tahmin edilmektedir. Ülkelere ve oruç tutulan mevsimlere göre oruçlu olunan 9-21 saat arasında değişebilmektedir. Bazı hastalar hekime danışıp hekim kontrolünde oruç tutmakta veya bazı hastalara da hekim tarafından oruç tutmaması gerektiği söylenmektedir. Ama en önemlisi bazı hastalar hiç hekime danışmadan oruç tutmakta ve ciddi sağlık problemleriyle karşılaşmakta hatta hayattalarını kaybedebilmektedir. Oruçla ilgili yapılan çalışmalar arttıkça pek çok hasta grubunun hekim kontrolünde ve düzenli takiplerine gelerek güvenle oruç tutabildiği pek çok çalışmada gösterilmiştir. Biz de kendi isteği ile her halükarda ben oruç tutacağını beyan eden ve bu taleple polikliniğe başvuran pek çok hastamızdan üçünün takip sonuçlarını paylaşmak istedik.

Keywords

• Ramazan,oruç,diyabet

References

1. 1. https://www.sabah.com.tr/fotohaber/yasam/hangi-ulkede-kac-saat-oruc-tutuluyor-en-uzun-sure-oruc-tutulan-ulke-hangisi/2.
2. 2. Bravis V, Hui E, Salih S, et al. Ramadan education and awareness in diabetes (READ) programme for muslims with Type 2 diabetes who fast during Ramadan. Diabet Med 2010; 27: 327-31.
3. 3. Al-Arouj M, Assaad-Khalil S, Buse J, et al. Recommendations for management of diabetes during Ramadan: update 2010. Diabetes Care 2010; 33: 1895-902.
4. 4. Hassanein M, Al-Arouj M, Ben-Nakhi A, et al. Diabetes and Ramadan: Practical Guidelines. IDF, in collaboration with the Diabetes and Ramadan (DAR) International Alliance, April 2016.
5. 5. El Toony LF, Hamad DA, Omar OM.. Outcome of focused pre-Ramadan education on metabolic and glycaemic parameters in patients with type 2 diabetes mellitus. Diabetes Metab Syndr 2018 Apr 25. pii: S1871-4021(18)30141-3. doi: 10.1016/j.dsx.2018.04.036 [Epub ahead of print].
6. 6. Bashir M, Elhadd T, Ali H, et al. A pilot study using flash continuous glucose monitoring in patients with type 2 diabetes on multiple antidiabetic agents during Ramadan. Diabetes Metab Syndr 2018 Jun 7. pii: S1871-4021(18)30210-8. doi: 10.1016/j.dsx.2018.06.005 [Epub ahead of print].
7. 7. Özkara A, Ateş İ, Altay M. https://www.medimagazin.com.tr/guncel/genel/tr-hekimler-icin-oruc-tutmak-isteyen-diabet-hastalarina-yonelik-bilimsel-degerlendirme-ve-takip-kilavuzu-11-681-77088.html.
8. 8. Demir ME. Böbrek hastaları ve oruç ibadeti. J Health Sci Med 2018; 1: 21-22.

9. 9. Hejaili F, Qurashi S, Binsalih S, Jaradt M, Al Sayyari A. Effect of repeated ramadan fasting in the hottest months of the year on renal graft function. Nephrourol Mon 2014 Mar 1; 6:e14362. doi: 10. 5812/numonthly.14362. eCollection 2014 Mar.
10. 10. Boobes Y, Bernieh B, Al Hakim MR. Fasting Ramadan in kidney transplant patients is safe. Saudi J Kidney Dis Transpl 2009 Mar; 20: 198-200.
11. 11. Shao Y, Lim GJ, Chua CL .. The effect of Ramadan fasting and continuing sodium-glucose co-transporter-2 (SGLT2) inhibitor use on ketonemia, blood pressure and renal function in Muslim patients with type 2 diabetes. Diabetes Res Clin Pract 2018 May 24; 142: 85-91. doi: 10.1016/j.diabres.2018.05.022 [Epub ahead of print].
12. 12. Bashier A, Khalifa AA, Abdelgadir EI, et al. Safety of sodium-glucose cotransporter inhibitors (SGLT2-I) during the month of Ramadan in Muslim patients with type 2 diabetes. Oman Med J 2018; 33: 104-10.
13. 13. Nematy M, Alinezhad-Namaghi M, Rashed MM, et al. Effects of Ramadan fasting on cardiovascular risk factors: a prospective observational study. Nutrition J 2012; 11: 69.
14. 14. Altunkeser A. The effect of Ramaddan fasting on fetal/obstetric B-mode and doppler ultrasound findings. Ortadogu Med J 2018; 10: 1-17.