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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Main Authors: Sueziani Binte Zainudin, Ester Yeoh
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2022-11-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.11622/smedj.2021047
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author Sueziani Binte Zainudin
Ester Yeoh
author_facet Sueziani Binte Zainudin
Ester Yeoh
author_sort Sueziani Binte Zainudin
collection DOAJ
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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institution Kabale University
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publisher Wolters Kluwer – Medknow Publications
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series Singapore Medical Journal
spelling doaj-art-4502937afcbc40bd83f63f580000fece2025-02-10T05:33:46ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352022-11-01631163364010.11622/smedj.2021047Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practiceSueziani Binte ZainudinEster YeohRamadan 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.https://journals.lww.com/10.11622/smedj.2021047diabetesfastingramadansingapore
spellingShingle Sueziani Binte Zainudin
Ester Yeoh
Preparing muslims with diabetes mellitus for Ramadan fasting in Singapore: a clinical approach and review of current practice
Singapore Medical Journal
diabetes
fasting
ramadan
singapore
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 diabetes
fasting
ramadan
singapore
url https://journals.lww.com/10.11622/smedj.2021047
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AT esteryeoh preparingmuslimswithdiabetesmellitusforramadanfastinginsingaporeaclinicalapproachandreviewofcurrentpractice