Ramadan is observed by Muslims worldwide as a month of fasting (sawm), prayer, reflection, and community. The common practice is to fast from dawn to sunset. The pre-dawn meal before the fast is called the suhur, while the meal at sunset that breaks the fast is called iftar. This year, Ramadan starts on Sun, March 10th and ends Tuesday April 9th, 2024. This question of the month addresses supporting individuals with diabetes during periods of religious fasting.

The 2024 Standards of Care reported individuals who fast have an increased risk for hypoglycemia, dehydration, hyperglycemia, and ketoacidosis.

Which of the following is an accurate health care statement regarding recommendations for religious fasting?

1. Recommend continuing with usual diet and medication regimens to ensure glucose stability and reduce health risks.
2. Accommodate a person’s choice for religious fasting.
3. Advise people with diabetes taking insulin about the need to avoid religious fasting due to risk of hypoglycemia.
4. Provide education on religious fasting only when evidence indicates risk.

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Question of week contributed by Christine Craig, MS, RD, CDCES, winner of the 2023 Impact on Diabetes Award, is a leader in the field of nutrition, technology, and diabetes care. Her years of expertise combined with her person-centered approach and work ethic, make her a perfect Question of Week author for this nutrition and activity focused content.

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Christine Craig, MS, RD, CDCES, winner of the 2023 Impact on Diabetes Award, is a leader in the field of nutrition, technology, and diabetes care. Her years of expertise combined with her person-centered approach and work ethic, make her a perfect speaker for this nutrition and activity focused content.

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