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Ramadan and Diabetes

About Ramadan Fasting


بسم الله الرحمن الرحيم

يَا أَيُّهَا الَّذِينَ آمَنُوا كُتِبَ عَلَيْكُمْ الصِّيَامُ كَمَا كُتِبَ عَلَى الَّذِينَ مِنْ قَبْلِكُمْ لَعَلَّكُمْ تَتَّقُونَ -أَيَّاماً مَعْدُودَاتٍ فَمَنْ كَانَ مِنْكُمْ مَرِيضاً أَوْ عَلَى سَفَرٍ فَعِدَّةٌ مِنْ أَيَّامٍ أُخَرَ وَعَلَى الَّذِينَ يُطِيقُونَهُ فِدْيَةٌ طَعَامُ مِسْكِينٍ فَمَنْ تَطَوَّعَ خَيْراً فَهُوَ خَيْرٌ لَهُ وَأَنْ تَصُومُوا خَيْرٌ لَكُمْ إِنْ كُنتُمْ تَعْلَمُونَ - شَهْرُ رَمَضَانَ الَّذِي أُنزِلَ فِيهِ الْقُرْآنُ هُدًى لِلنَّاسِ وَبَيِّنَاتٍ مِنْ الْهُدَى وَالْفُرْقَانِ فَمَنْ شَهِدَ مِنْكُمْ الشَّهْرَ فَلْيَصُمْهُ وَمَنْ كَانَ مَرِيضاً أَوْ عَلَى سَفَرٍ فَعِدَّةٌ مِنْ أَيَّامٍ أُخَرَ يُرِيدُ اللَّهُ بِكُمْ الْيُسْرَ وَلا يُرِيدُ بِكُمْ الْعُسْرَ وَلِتُكْمِلُوا الْعِدَّةَ وَلِتُكَبِّرُوا اللَّهَ عَلَى مَا هَدَاكُمْ وَلَعَلَّكُمْ تَشْكُرُونَ.

البقرة :183 - 185


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حَدَّثَنَا أَبُو نُعَيْمٍ حَدَّثَنَا الْأَعْمَشُ عَنْ أَبِي صَالِحٍ عَنْ أَبِي هُرَيْرَةَ عَنْ النَّبِيِّ صَلَّى اللَّهُ عَلَيْهِ وَسَلَّمَ قَالَ يَقُولُ اللَّهُ عَزَّ وَجَلَّ الصَّوْمُ لِي وَأَنَا أَجْزِي بِهِ يَدَعُ شَهْوَتَهُ وَأَكْلَهُ وَشُرْبَهُ مِنْ أَجْلِي وَالصَّوْمُ جُنَّةٌ وَلِلصَّائِمِ فَرْحَتَانِ فَرْحَةٌ حِينَ يُفْطِرُ وَفَرْحَةٌ حِينَ يَلْقَى رَبَّهُ وَلَخُلُوفُ فَمِ الصَّائِمِ أَطْيَبُ عِنْدَ اللَّهِ مِنْ رِيحِ الْمِسْك.

حدثنا أبو نعيم حدثنا الأعمش عن أبي صالح عن أبي هريرة عن النبي صلى الله عليه وسلم قال يقول الله عز وجل الصوم لي وأنا أجزي به يدع شهوته وأكله وشربه من أجلي والصوم جنة وللصائم فرحتان فرحة حين يفطر وفرحة حين يلقى ربه ولخلوف فم الصائم أطيب عند الله من ريح المسك.
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    The Prophet (peace and blessings be upon him) said: Whoever fasts during Ramadan with faith and seeking his reward from Allah will have his past sins forgiven. Whoever prays during the nights in Ramadan with faith and seeking his reward from Allah will have his past sins forgiven. And he who passes Lailat al-Qadr in prayer with faith and seeking his reward from Allah will have his past sins forgiven (Bukhari, Muslim).
    
    Ramadan -a month of obligatory daily fasting in Islam is the ninth month in the Islamic lunar calendar. Daily fasts begin at dawn and end with sunset. Special nightly prayers called, Taraweeh prayers are held. The entire Quran is recited in these prayers in Mosques all around the world. This month provides an opportunity for Muslims to get closer to God.
    

    The month of Ramadan is a great month. It is the month in which Allah revealed the Quran as a guidance for the whole of mankind. It is the month in which Allah gave the Muslims victory in their first and greatest  battle at Badr. It is the month which has  Laylat al-Qadr, a night which is better than a thousand months.

    In Ramadan the gates of heaven are opened and the gates of Hell are shut, and the shayaateen (devils) are tied up and the reward for good deeds, acts of charity and acts of worship are multiplied in this month.
    




Ramadan & Diabetes

 

   

During the sacred month of Ramadan, people who fast neither eat nor drink from dawn to sunset. Among disabled individuals with acute or chronic diseases, certain diabetics can be exempted from fasting. Many people with diabetes still prefer to fast, without medical guidance, exposing themselves to certain health risks as a direct consequence of fasting or because of a change in food and frequency of medication intake. Although the benefit of experimental supplemented fasting has been well demonstrated, in diabetics, the consequential effects of fasting during Ramadan remain oft en controversial. [1- 4] then significantly increasing one’s intake after breaking the fast, could unbalance the metabolism of patients with diabetes and influence their nutritional intake and their anthropometric parameters.[5-13] Concerning diet during Ramadan, people usually eat two meals, one before dawn (Sahur) and one just after sunset (Iftar). Few studies have assessed the food intake among type 2 diabetics and we founnd conflicting results with those reported in.[14] A decrease in daily calorie intake has been seen as one of the advantages in Ramadan fasting.[5,11-17] Some authors[15] observed a decrease in energy intake (103 Kcal/d), though not statistically significant, which is correlated with meal investigated the effect of fasting, during Ramadan, on some anthropometric parameters, and assessed food consumption among a group of obese women with type 2 diabetes mellitus (T2DM).

My primary  research  interests are: the study of the effect of  fasting during the holy  month of Ramadan on  patients  with  type 2  diabetes. I've been researching in this area for over 15 years. I am interested in research methods; epidemiology and  biostatistics;  health of adolescents groups; and  promoting the use of routine data collections for research purposes.

 

Furthermore, I am giving, for physicians and health care providers (HCP) throughout the country, conferences on the management of type 2 diabetes during Ramadan fasting month, the risks of obesity and overweight.

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