Original article
English
Sulieman S. Abusrewil, Haima M. Turki, Faiza Osman, Mohammad Kabuka, Ali Mgadmi
Department of Paediatrics, TMC. Tripoli, Libya
JMJ Vol. 2, No. 4 (September 2003): 49-50
Abstract
One hundred and six(56 female and 50male) diabetic adolescent and young adult with type I diabetes were studied. Their mean age was 19 years (range 13- 23y) and mean duration of their diabetes was 7.3 years (range ½-20 y). the mean insulin dose during Ramadan was 0.7 u/kg/day divided into two doses with ¾ of the total dose was giving at evening before breakfast and ¼ of the total dose at dawn before the early morning meal. The two insulin doses were given 50/50 soluble/ NPH.
Ninety two (87%) diabetic adolescents and young adults completed their fasting foe 30 days with no interruption and 14(13%) broke their fast for 1-8 days. The mean HbA1c level before Ramadan fast was 11% (range 6-18%) and dropped to 10% (6-17) after Ramadan fast. After Ramadan month 46 (43%) subjects had has fasted with decrease in HbA1c level, 21 (20%) fasted without change in HbA1c Level and 39(37%) fasted with slight increase in HbA1c level.
Although few diabetics have broken the fast (mainly due to hypoglycaemia) the present work have shown that the large majority of the adolescents and young adult diabetics can fast quite safely during month of Ramadan in the presence of good education and supervision and obviously with modification of their insulin regimen.
Keywords: Diabetic, insulin, HbA1c, Hypoglycaemia.
Link/DOI: http://www.jmj.org.ly/modules.php?name=News&file=article&sid=1284