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Recommendations for Management of Diabetes During Ramadan

Response to Al-Arouj et al.

  1. Tarik A. Elhadd, MD and
  2. Abdullah A. Al-Amoudi, MD
  1. From the Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia
  1. Address correspondence to Dr. T.A. Elhadd, MD, Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah 21499, Saudi Arabia. E-mail: tarikelhadd58{at}gmail.com

Al-Arouj et al. (1) have made recommendations for fasting during the holy month of Ramadan for Muslim diabetic patients. The recommendations were drafted by an expert panel of diabetologists from around the globe, and it represents a landmark for practicing clinicians who look after diabetic Muslims. The recommendations were based on expert opinion rather than evidence-based scientific research, which, as the panel pointed out, is lacking in this area. These provisional recommendations await well-designed research aimed specifically at seeing whether fasting is beneficial or harmful to patients with type 1 diabetes.

Type 1 diabetic patients are often advised not to fast by physicians. The nature of …

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