Indian Journal of Endocrinology and Metabolism (Jan 2014)

Management of Type 2 diabetes in Ramadan: Low-ratio premix insulin working group practical advice

  • Mohamed Hassanein,
  • Mohamed Belhadj,
  • Khalifa Abdallah,
  • Arpan D Bhattacharya,
  • Awadhesh K Singh,
  • Khaled Tayeb,
  • Monira Al-Arouj,
  • Awad Elghweiry,
  • Hinde Iraqi,
  • Mohamed Nazeer,
  • Henda Jamoussi,
  • Mouna Mnif,
  • Abdulrazzaq Al-Madani,
  • Hossam Al-Ali,
  • Robert Ligthelm

DOI
https://doi.org/10.4103/2230-8210.140242
Journal volume & issue
Vol. 18, no. 6
pp. 794 – 799

Abstract

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The challenge of insulin use during Ramadan could be minimized, if people with diabetes are metabolically stable and are provided with structured education for at least 2-3 months pre-Ramadan. Although, American diabetes association (ADA) recommendations 2010 and South Asian Consensus Guideline 2012 deal with management of diabetes in Ramadan and changes in insulin dosage, no specific guidance on widely prescribed low-ratio premix insulin is currently available. Hence, the working group for insulin therapy in Ramadan, after collective analysis, evaluation, and opinion from clinical practice, have formulated a practical advice to empower physicians with pre-Ramadan preparation, dose adjustment, and treatment algorithm for self-titration of low-ratio premix insulin.

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