Recommendations for Management of Diabetes During Ramadan

Response to Al-Arouj et al.

  1. Mayer B. Davidson, MD
  1. From Charles R. Drew University, Los Angeles, California
  1. Address correspondence to Mayer B. Davidson, MD, Clinical Center for Research Excellence, Charles R. Drew University, 1731 East 120th St., Los Angeles, CA 90059. E-mail: madavids{at}cdrewu.edu

In their otherwise fine article concerning recommendations for the management of diabetes during Ramadan, Al-Arouj et al. (1) perpetuate an ingrained, but mistaken, view of the glycemic response to different kinds of ingested carbohydrates. Their recommendations of eating foods containing complex carbohydrates at the predawn meal and simple carbohydrates at the sunset meal is based on their stated assumption that digestion and absorption of the former is delayed and faster for the latter. These …

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