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Indian J Endocrinol Metab. 2014 Nov;18(6):794-9. doi: 10.4103/2230-8210.140242.

Management of Type 2 diabetes in Ramadan: Low-ratio premix insulin working group practical advice.

Author information

1
BC University Health Board, Glan Clwyd Hospital, Wales.
2
Department of Internal Medicine, Etablissement Hospitalo-Universtaire, Oran, Algeria.
3
Professor of Diabetes and Internal Medicine, Alexandria University, Alexandria, Egypt.
4
Department of Endocrinology, Manipal Hospital, Bangalore, Karnataka, India.
5
Department of Endocrinology, GD Diabetes Hospital, Kolkata, West Bengal, India.
6
Al-Nour Hospital, Mekkah, Saudi Arabia.
7
Dasman Diabetes Institute, Dasman, Kuwait.
8
Diabetes Center Benghazi, Benghazi, Libya.
9
Department of Endocrinology, University Hospital Ibn Sina - Rabat, Morocco.
10
Department of Endocrinology, Chris Hani Baragwaneth Hospital, University of Witwatersrand, Fordsburg, South Africa.
11
National Institute of Nutrition, Tunis, Tunisia.
12
Department of Endocrinology, SFAX, Tunisia.
13
Dubai Hospital, Dubai Health Authority - DHA, Dubai, United Arab Emirates.
14
Rashid Centre for Diabetes and Research, Sheikh Khalifa Hospital, Ajman, UAE.
15
Internist, EHM, Hoofddorp, Netherlands.

Abstract

The challenge of insulin use during Ramadan could be minimized, if people with diabetes are metabolically stable and are provided with structured education for at least 2-3 months pre-Ramadan. Although, American diabetes association (ADA) recommendations 2010 and South Asian Consensus Guideline 2012 deal with management of diabetes in Ramadan and changes in insulin dosage, no specific guidance on widely prescribed low-ratio premix insulin is currently available. Hence, the working group for insulin therapy in Ramadan, after collective analysis, evaluation, and opinion from clinical practice, have formulated a practical advice to empower physicians with pre-Ramadan preparation, dose adjustment, and treatment algorithm for self-titration of low-ratio premix insulin.

KEYWORDS:

Hyperglycemia; hypoglycemia; low-ratio premix insulin; ramadan; type 2 diabetes

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