According to a study by the Department of Internal Medicine at Sétif’s CHU, 90% of type 2 diabetics and 70% of type 1 diabetics fast, said Dr. Khellaf, former assistant professor at the Department of Internal Medicine at CHU von Sétif.
About forty diabetics of both sexes benefited from a special Ramadan action of therapeutic training on Monday afternoon at the level of the CHU de Sétif conference room. The meeting, hosted by several diabetes specialists, was a session of interaction between healthcare professionals on the one hand and patients on the other. it was dr Tarek Mahboub, Endocrinologist, who opened the ball with a statement the introduction of which was a brainstorm to bring out all the thoughts and knowledge of the patients present.
The speaker immediately pointed out that the aim of the session is to provide diabetics with as much information as possible in order to enable them to fast without risk and complications. “The diabetic needs to have a health culture that allows them to fast without this abstinence from eating and drinking posing a danger to them, and we also make sure their condition doesn’t get worse,” said Dr. Mahboub, who insisted that the patient must consult his doctor a few weeks before the holy month, noting that the young is not without risk, especially in those with unbalanced diabetes.
These are hypoglycemia and hyperglycemia that can pose a risk to the patient. Breaking down the different types of diabetes, he reminds that the decision to authorize fasting, which depends on the general condition of the patient, the number of injections or medications he takes per day and concomitant diseases, must be taken by the doctor. In addition, Dr. Charaf-Eddine Ali Khodja, former assistant professor of internal medicine, introduced the score adopted since 2020 by experts from several Arab and Muslim countries, affiliated with the International Diabetes Federation and dedicated to the subject of international recommendations on fasting.
“For two years, doctors treating diabetics have relied on the chart score of the patient who wants to fast. For this purpose, no less than fourteen points are provided, which are checked by the doctor with a careful calculation of the score that determines whether the patient can fast or not. Among the points taken into account by the developers of the data sheet are: the age, the duration of the disease, the HbA1c value (glycated hemoglobin), better known as the blood glucose level calculated in the last three months before the analyses, the diseases associated with diabetes, such as high blood pressure and renal insufficiency,” emphasizes the specialist.
And to clarify: “The higher the score, the more difficult the fast. Some patients need to be fasting but very careful, checking their blood sugar several times a day and at specific times to be determined by the treating doctor. On the drug side, Dr. Khellaf, former assistant professor at the Department of Internal Medicine at Sétif’s CHU, through his presentation on adjusting insulin doses and medications, including oral antidiabetics, during the holy month. dr Khellaf recalled that according to a study by the Department of Internal Medicine at the CHU of Sétif, 90% of type 2 diabetics and 70% of type 1 diabetics fast. She also stressed the need to delay lunchtime meals, drink plenty of water, and adjust physical activity schedules.
for dr Radji Aroua, Medical Advisor at Casnos, he listed the dangers inherent in fasting for patients with unbalanced diabetes. Coupled with low immunity, the diabetic with Covid-19 should not fast. Diabetics, especially those with concomitant diseases, the elderly or people with lung infections, are also asked to strictly monitor their diabetes at home and avoid high-fat foods and sugary drinks, as well as drink plenty of water and break fasting in case of hyperglycemia, which would last longer than two hours.