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Question of the Week | Best approach: Fasting During Ramadan

Question of the Week Diabetes Education Services

JL observes Ramadan and fasts from sunrise to sunset. JL has type 2 diabetes and usually takes 4 units of bolus insulin three times a day with meals and 10 units of glargine (Rezvoglar) at bedtime.

What would be the best recommendation for JL?

  1. See if JL can get a note from your doctor to allow eating during the day.
  2. Take bolus insulin when JL eats a meal.
  3. Monitor urine ketones at least twice a day.
  4. Switch glargine to degludec to decrease risk of hypoglycemia.

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