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Ramadan Fasting and Diabetes Mellitus

Ramadan is the ninth month of the Islamic Lunar calendar. During this month all healthy physically mature Muslims are required to fast from pre-dawn to sunset. It’s advised that people with diabetes who wish to participate in fasting should seek medical advice regarding Ramadan for support and guidance to&nbsphelp reduce risks.

Complications that may occur during fasting include hypoglycemia (low blood glucose level), dehydration, constipation, and indigestion. The risk of complications from fasting may increase when you are having type 1diabetes with unstable glycemic control or type 2 diabetes with poor glycemic control.

Educating patients about life-style changes can play an important role in preventing medical complications, such as hypoglycemic episodes.

Diabetes can be controlled during Ramadan by diet selection and medication dose adjustment. Eating complex, slow releasing foods, such as rice, wheat and beans before and after fasting is suggested. Complex foods should be complemented by high fiber foods such as wholegrain cereals, fruit and vegetables rather than fatty and sugary food.

Patients should be provided with the means to monitor their blood glucose levels and encouraged to continue their normal day-to-day physical activities, although it may be necessary to reduce the intensity and duration of physical exercise.

During Ramadan, for the management of blood sugar levels, it is most important to select the most appropriate treatment for individual. For fasting patients taking the standard of care, metformin is taken with food, so it require dose adjustment. Thiazolidones such as Glitazones not require any dose change as these are taken once or twice daily. Sulfonylureas such as Glimepiride and Gliclazide can cause hypoglycemia so the dose should be adjusted. Diabetic patients should consult their physician regarding advice for dosage adjustment during Ramadan to avoid any complication.

REKO Pharmacal is one of the leading pharmaceuticals manufacturing company of Pakistan. REKO Pharmacal is heading on the path for the last 50 years with a corporate philosophy of “Health care with a difference” The firm has visionary approach which envisages To attain market leadership and to extend our products and services globally.

By virtue of high standards in the manufacturing process and marketing of different pharmaceutical dosage forms, REKO is well recognized company in the Pakistan pharmaceutical industry. REKO is offering oral anti-diabetics such as

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