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首页> 外文期刊>BMJ: British medical journal >Management of people with diabetes wanting to fast during Ramadan
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Management of people with diabetes wanting to fast during Ramadan

机译：管理糖尿病患者想要快在斋月期间

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摘要

The holy month of Ramadan is one of five main pillars of being a Muslim. Most Muslims are passionate about fasting during this month. Although the Koran exempts sick people from the duty of fasting,12 many Muslims with diabetes may not perceive themselves as sick and are keen to fast. A large epidemiological study of Muslims with diabetes in 13 Muslim countries (n=12 914)-the EPIDIAR study-showed that 43 of patients with type 1 and 79 of those with type 2 diabetes fasted during Ramadan.As the month of Ramadan follows the lunar calendar, the fasting month is brought forward by about 10 days each year, which means that over time the season in which Ramadan falls changes. For the next decade Ramadan will fall in the summer in the northern hemisphere. As daylight hours vary considerably between summer and winter months in non-equatorial countries, the length of the fast (which lasts from dawn to sunset) increases in the summer (to about 16-20 hours). People with diabetes who fast are at risk of adverse events, and the risks may increase with longer fasting periods. We review the evidence for optimum management of diabetic patients who wish to fast during Ramadan, drawing on a small evidence base comprising randomised trials, non-randomised comparison studies, and observational studies. We combine this with recommendations based on expert consensus. To reduce complications experienced by diabetic patients who fast during Ramadan, health professionals should aim to educate Muslim patients about safe fasting, not only before Ramadan but also at their annual diabetic review and at diagnosis.
机译：斋月是五个主要之一柱子的穆斯林。在这个月期间热衷于禁食。虽然《古兰经》免除病人的义务禁食12许多穆斯林患有糖尿病不认为自己是生病和渴望快。糖尿病患者在13个穆斯林国家(n = 12914)——EPIDIAR研究显示,43%的患者1型和2型患者的79%糖尿病在斋月禁食。斋月是农历,禁食每个月提前10天左右本赛季,这意味着随着时间的推移斋月的变化。斋月会在夏天在北方半球。在夏季和冬季之间也考虑国家,迅速的长度(持续从黎明到日落)增加夏季(约16 - 20小时)。糖尿病人快有不良事件的风险,,长时间禁食带来的风险可能会增加期。糖尿病患者希望快速的管理在斋月期间,利用一个小证据基础包括随机试验、non-randomised比较研究和观察性研究。结合基于专家的建议共识。糖尿病患者快速在斋月期间,健康专业人士应该致力于教育的穆斯林患者安全的禁食,不仅之前斋月还在他们的年度糖尿病检查和诊断。

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