Affiliations 

  • 1 Dubai Hospital, Dubai Health Authority, Dubai, UAE. Electronic address: mhassanein148@hotmail.com
  • 2 Tawam Hospital, SEHA, Al Ain UAE
  • 3 Baqai Institute of Diabetology & Endocrinology, Baqai Medical University, Karachi, Pakistan
  • 4 King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
  • 5 Dubai Hospital, Dubai Health Authority, Dubai, UAE
  • 6 LMC, Diabetes and Endocrinology, Ontario, Canada
  • 7 Dasman Diabetes Institute, Kuwait City, Kuwait
  • 8 Sohag Faculty of Medicine, Sohag Univerisity, Egypt
  • 9 Joslin Diabetes Center, Harvard University, Boston, MA, USA
  • 10 University Hospital Birmingham, UK
  • 11 Mohamad bin Rashid University, Dubai, UAE
  • 12 UNFM (Université Numérique Francophone), Paris, France
  • 13 Imperial College London Diabetes Centre, Abu Dhabi, UAE
  • 14 Faculty of Medicine, Cairo University, Egypt
  • 15 School of Medical Sciences, Universiti Sains Malaysia, Hospital Universiti Sains Malaysia, Kota Bharu, Malaysia
  • 16 Dubai Hospital - Dubai Health Authority, UAE
  • 17 Bankstown - Lidcombe Hospital, Sydney, Australia
  • 18 College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, KSA
  • 19 Al Borj Medical Centre, Dubai, UAE
  • 20 Alexandria University, Alexandria, Egypt
  • 21 United Arab Emirates and Mediclinic Airport Road Hospital, Abu Dhabi, UAE
  • 22 Medistate Kavacık Hospital, Istanbul, Turkey
  • 23 Royal London Hospital, London, UK
  • 24 Department of Medicine, Universite Cheikh Anta Diop De Dakar, Senegal
  • 25 Faculty of Medicine , Ain Shams University, Cairo, Egypt
  • 26 Hamad Medical Corporation, Doha, Qatar
  • 27 Yarsi University, Jakarta, Indonesia
  • 28 College of Health sciences, University of Sharjah, Sharjah, UAE
  • 29 Dubai Health Authority, Dubai, UAE
  • 30 Department of Medicine, Hospital Putrajaya, Putrajaya, Malaysia
  • 31 Endocrinologie et Maladies Métaboliques, CHU de Rabat, Maroc
  • 32 Western University, London, ON, Canada
  • 33 University of Leicester, Leicester General Hospital, Leicester, UK
  • 34 Diabetes UK, Meethi Zindagi Pakistan, Baqai Institute Pakistan, MywayDiabetes UK, Digibete UK
  • 35 Department of internal Medicine, Setif hospital University, Algeria
  • 36 Weill Cornell Medicine, Qatar
  • 37 Universiti Sains Malaysia
  • 38 Internal Medicine and Diabetes, Minia University, Minya, Egypt
  • 39 Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, South Africa
  • 40 International Diabetes Federation, Brussels, Belgium
  • 41 Osmania Medical College & Hospital, Hyderabad, India
  • 42 Corniche Hospital, Abu Dhabi, UAE
  • 43 Labib Meical Center, Medical General Security, Lebonon
  • 44 Saifee Hospital, Mumbai, India
  • 45 Multidisciplinary Private Clinic "Les Oliviers", Sousse, Tunisia
  • 46 Sheffaa Charity Society, Mecca, Saudi Arabia
  • 47 Universiti Putra Malaysia, Selangor, Malaysia
  • 48 Sengkang General Hospital, Singapore
PMID: 35016991 DOI: 10.1016/j.diabres.2021.109185

Abstract

Fasting during Ramadan is one of the five pillars of Islam and is obligatory for all healthy Muslims from the age of puberty. Though individuals with some illness and serious medical conditions, including some people with diabetes, can be exempted from fasting, many will fast anyway. It is of paramount importance that people with diabetes that fast are given the appropriate guidance and receive proper care. The International Diabetes Federation (IDF) and Diabetes and Ramadan (DaR) International Alliance have come together to provide a substantial update to the previous guidelines. This update includes key information on fasting during Ramadan with type 1 diabetes, the management of diabetes in people of elderly ages and pregnant women, the effects of Ramadan on one's mental wellbeing, changes to the risk of macrovascular and microvascular complications, and areas of future research. The IDF-DAR Diabetes and Ramadan Practical Guidelines 2021 seek to improve upon the awareness, knowledge and management of diabetes during Ramadan, and to provide real-world recommendations to health professionals and the people with diabetes who choose to fast.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.