Diabetes and Ramadan

Module 3: Risk stratification and education in people with diabetes fasting during Ramadan

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CME Credits: 1
Module duration: 1 hour
Launch date: Winter 2018 (version 1)
Updated: Spring 2022 (version 2)
Expiry date: March 2027
Audience: Diabetes and Metabolism Specialists (Basic), Endocrinologists (Basic), General Physicians (Basic), Public Health Physicians (Basic)

In this module, Module 3, we are going to discuss very important topics about risk stratification, we're going to know who is allowed to fast, and who should not fast, because Islam gives the option not to fast for sick people. Islam actually exempts sick people from fasting. Diebetic persons usually don't see themselves as sick people. But according to risk stratification we are going to tell the patients who are allowed to fast without complication, and who will be allowed to fast but with some concerns, and who is not allowed to fast and we should convince the patient to follow the religious advice. Also, in this module, we are going to know that diabetic persons should go to their doctors one to two months before Ramadan, for examination, for routine annual check-up, and also for pre-Ramadan education, and the pre-Ramadan education is better to contain dietary advice about lifestyle, diet, exercise, when to break the fast, and also to do the self-monitoring of blood glucose (SMBG), and to know that this pinprick doesn't break the fasting. It's very important to let the patient know that the pinprick doesn't break the fasting, they can do the blood glucose testing whenever they want, and also the insulin injection doesn't break the fast. The patients also should know the risks that may happen, and how to deal with these risks.

This third module introduces the important role of education and diet for people with diabetes who wish to fast during Ramadan.

Consideration is given to the investigations and education required during a pre-Ramadan assessment and how to apply risk stratification criteria. Finally, the importance of individualised education is discussed for high, moderate and low risk patients.

To help in the application of knowledge, you will be invited to participate in a number of scenarios examining patient cases and making suitable recommendations.

Learning Outcomes

By the end of this module, you will be able to:

Explain the importance of individualised Ramadan education for people with diabetes and how lifestyle changes and self-monitoring of blood glucose can support safe fasting

Apply risk stratification criteria to typical patients with diabetes seeking advice on fasting during Ramadan

Analyse key clinical trial data that underpin the recommendations for Ramadan education programmes and lifestyle advice


This module includes self-marked assessments, such as knowledge checks and/or case studies, as well as a marked final assessment, which you can attempt up to five times. To complete the module, you must review all chapters, pass the final assessment (80% pass mark), and fill in our feedback form.


Contributors

Professor
Inass Shaltout
Author
Professor
Wasim Hanif
Expert Reviewer, Assessment Setter