The presentation aims to summarize the last published guidelines regarding fasting and diabetes with suggestions for fasting in different renal diseases and hypertension .

1. Ramadan Fasting and Patients
with Diabetes: An Update
Dr
Yasser Matter
Nephrology and Kidney Transplantation
Specialist
Urology and Nephrology center
Mansoura University -Egypt
yassermatter86@gmail.com
yassermatter@mans.edu.eg

2. • Ramadan fasting is one of the five pillars of Islam and is
compulsory for all adult Muslims who had no medical or
religious excuses.
• Ramadan fasting is defined as a complete abstinence from
food, drink, medications, sexual activity, and smoking from
dawn to dusk.
• Regarding the kind Islamic religion, patients have
permission not to fast after medical advice However, most
Muslim patients express their desire to fast Ramadan month
and they are very broken when their physicians inform them
not to fast.
• The presentation aims to summarize the last published
guidelines regarding fasting and diabetes with suggestions for
fasting in different renal diseases and hypertension .

3. Diabetes and Ramadan: Practical
guidelines
In association with Diabetes and Ramadan (DAR) International
Alliance with approval of the Mofty of Egypt.

4. From what we are afraid ?
1. Hypoglycaemia
2. Hyperglycaemia
3. DKA
4. Dehydration &thrombosis

5. So, good patient assessment is very
important before the holy Ramadan

7. Fast or not to fast

8. Recommendations for patients with
diabetes who fast during Ramadan

11. Recommended timings to check blood glucose
levels during Ramadan fasting
Low risk patients :
SMBG at the following times: pre-suhoor, midday, pre-iftar and
whenever symptoms of hypoglycaemia or acute illness occur

12. Non-insulin dose modifications
for patients with T2DM

14. Insulin dose modifications for
patients with diabetes

16. Ramadan Fasting and Patients
with different Kidney Diseases

17. Who are exempted
from fasting during Ramadan?

18. Who can fast during Ramadan?