Main description:

Fasting during the holy month of Ramadan is an important spiritual practice for many Muslims. This involves going without food, liquids and even medication between the hours of dawn until sunset, putting people with diabetes at significant risk of hypoglycaemia (low blood glucose), hyperglycaemia (high blood glucose), or dehydration.

The second edition of this practical guide has been fully revised to bring clinicians up to date with the latest advances and information in the management of patients with diabetes when fasting during Ramadan.

Beginning with an overview of the endocrinological effect of fasting, the following sections cover both pharmacological and non-pharmacological management techniques, such as stress management and physical activity.

The final chapters discuss the effects of fasting in specific patient groups such as children, women and the elderly; as well as management of potential complications.

Key points

Fully revised, second edition providing clinicians with the latest advances in the management of patients with diabetes during Ramadan
Covers both pharmacological and non-pharmacological treatments
Discusses specific patient groups such as children, women and the elderly
Previous edition (9789350907009) published in 2013

Contents:

Section 1 Overview

Introduction
Counselling the patient before Ramadan
Endocrinology of fasting
Risk stratification of people with diabetes
Positive benefits of fasting on health

Section 2 Non-Pharmacological Management

Monitoring the patient during Ramadan
Nutrition in Ramadan
Physical activity
Stress management

Section 3 Pharmacological Management

Traditional oral antidiabetic drugs in Ramadan
Incretin-based therapies
Insulins in type 1 diabetes
Insulins in type 2 diabetes

Basal
Intermittent
Premixed

Section 4 Special situations in Ramadan

Ramadan fasting in children and adolescents
Ramadan fasting in women
Ramadan Fasting in elderly

Section 5 Management of Complications

Hypoglycemic emergencies
Hyperglycemic emergencies

Dyselectrolytemia in Ramadan
Management of co-morbid conditions hypertension, dislipidemia, CVD
Newer drugs in Ramadan
Lessons for non Ramadan diabetes care