Daffodil International University

Religion & Belief (Alor Pothay) => Islam => Ramadan and Fasting => Topic started by: fatema_diu on July 22, 2014, 11:52:10 AM

Title: Advice to patients with Type 2 diabetes on insulin treatment is as follows:
Post by: fatema_diu on July 22, 2014, 11:52:10 AM

•   It is very important not to stop taking insulin during Ramadan.
•   Consider a lower dose (1/2 to 1/3rd of normal morning dose) at Sehri and usual full morning dose at Iftar time. (as a general rule)
•   Consider changing from pre-mix insulin to long-acting insulin (eg; Isophane, detemir or glargine) to avoid higher risk of hypos at mid-day/mid-fast, either at Sehri or at Iftar.
•   Pre-meal, short acting insulin analogues (Lispro and Novo-Rapid) are useful for fasting because they allow people to inject during or just after their break of fast meal, and give a lower risk of hypoglycaemia during the night. These have been shown to help with glycaemic control during Ramadan compared with regular human insulin.
•   Where possible, take rest during the day to help avoid lowering of blood glucose levels.