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Recommendations for Management of Diabetes During Ramadan

Response to Elhadd and Al-Amoudi and to Davidson

  1. Imad M. El-Kebbi, MD1,
  2. Mahmoud Ashraf Ibrahim, MD2 and
  3. Faramarz Ismail-Beigi, MD, PHD3
  1. 1Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
  2. 2Egyptian Diabetes Center, Cairo, Egypt
  3. 3Division of Clinical and Molecular Endocrinology, Case Western Reserve University, Cleveland, Ohio
  1. Address correspondence to Mahmoud Ashraf Ibrahim, MD, Egyptian Diabetes Center, 19 Nasouh St., Zeitoun, Cairo, Egypt 11321. E-mail: mahmoud{at}arab-diabetes.com

We thank Elhadd and Al-Amoudi (1) for their comments and interest in our article (2). Like them, we are also concerned by the very high rate of severe hypoglycemia and hyperglycemia in patients with diabetes who fast during Ramadan. We agree with them that patients with renal disease may have increased risk of hypoglycemia …

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