Professional Documents
Culture Documents
Ramadan Quick Guide 2021-Fatimah Alkawai
Ramadan Quick Guide 2021-Fatimah Alkawai
Adopted from international diabetes federation, diabetes and Ramadan international alliance-IDF-DAR Practical Guidelines
Content
1. Elements for risk calculation and suggested risk score for people with
diabetes mellitus that seek to fast during Ramadan.
3. Medication adjustment
Risk stratification
• For a given individual, each risk element should be assessed, and
the score should be calculated.
• The resulting score will determine the overall risk level for an
individual with diabetes that is seeking to fast during Ramadan.
• The following table includes the new IDF-DAR elements for risk
calculation and the relevant risk score
Risk score calculation
• Individuals who are in the high risk category should not fast
Acarbose
• No RCTS have been conducted on acarbose in people with T2DM that fast during
ramadan.
Pipglitazon
• No dose modification is required during ramadan, but dose should be taken with iftar.
Medication adjustments
Acarbose
• No RCTS have been conducted on acarbose in people with T2DM that fast during
ramadan.
• No dose modification is considered necessary as the risk of hypoglycemia is low
Pipglitazon
• No dose modification is required during ramadan, but dose should be taken with iftar.
Medication adjustments- long and short acting insulin
Medication adjustments- premixed insulin
Reference
International Diabetes Federation (IDF), in collaboration with the
Diabetes and Ramadan (DAR) International Alliance- Diabetes and Ramadan practical guideline Jan 2021