PMID- 22654520 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20231105 IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 5 DP - 2012 TI - Pharmacological approaches to the management of type 2 diabetes in fasting adults during Ramadan. PG - 109-19 LID - 10.2147/DMSO.S23261 [doi] AB - More than 50 million Muslims throughout the world with type 2 diabetes mellitus (T2DM) fast for one lunar month (Ramadan) each year. Health care providers within and outside the Muslim world need to be aware of the nature of these partial days of fasting and their risks (and potential benefits) to people with T2DM, and need to provide Ramadan-adjusted diabetes care. Hypoglycemia during the fasting days represents the greatest health risk for these patients; hence, diabetes-related pharmacotherapy needs to be tailored and adjusted with this risk in mind. With limited trial data available, this review proposes practical modifications to the usual pre-Ramadan antidiabetic regimens that are based on pathophysiological principles, clinical trial evidence (where available), expert opinion, and extended practical experience. Individualization of care is paramount in this regard to take into consideration the patient and societal, cultural, and economic variables. FAU - Almaatouq, Mohamed A AU - Almaatouq MA AD - Endocrine Unit, Department of Medicine, College of Medicine and King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia. LA - eng PT - Journal Article DEP - 20120501 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC3363134 OTO - NOTNLM OT - Ramadan OT - fasting OT - hypoglycemia OT - insulin OT - oral antidiabetic agents OT - type 2 diabetes mellitus EDAT- 2012/06/02 06:00 MHDA- 2012/06/02 06:01 PMCR- 2012/05/01 CRDT- 2012/06/02 06:00 PHST- 2012/06/02 06:00 [entrez] PHST- 2012/06/02 06:00 [pubmed] PHST- 2012/06/02 06:01 [medline] PHST- 2012/05/01 00:00 [pmc-release] AID - dmso-5-109 [pii] AID - 10.2147/DMSO.S23261 [doi] PST - ppublish SO - Diabetes Metab Syndr Obes. 2012;5:109-19. doi: 10.2147/DMSO.S23261. Epub 2012 May 1.