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Master thesis

Ramadan et diabète

Abstract : T he fast of Ramadan makes party of the 5 pillars of Islam. It is obligatory for the Moslems in good health as of puberty. Each year, for one month any food, drink and medication by oral way are prohibited of the paddle to laying down Sun. The duration of the fast varies from 10 to 18 hours according to the season. The brutal change of the lifestyle and the need for nourishing itsglf the night involve modifications of the behavior and vigilance, dietary habits and food balance as wellas bioiogical variations of the healthy subject. These modifications do not have noxious impact on the healthy subject who fasts. On the other hand, diabetics, in spite of the Koranic exemption, expose themselves to metabolic complications.T hese complications can be avoided by a specific medical assessment and adapted recommendation. Practitian must take care about the spiritual and social dimension of the Ramadan which encourages the patients to fest at the risk of degrading their health. On the border of the religion and medicine, a holistic and individualized approach of pratician appears the most adapted. The fast should not be prohibited in a systematic way. Indeed, unwell balanced patients with type 2diabetes, without degenerative complications and co-morbidepathologies can fast without risk by respecting the medical recommendations. On the other hand, fast is not indicated for the patients with type 1 diabetes. In all cases, practitian must inform his patient of the incurred risks. The managrnent of patients with diabetes who fast has to begin 2months before Ramadan with a medical evaluation and a specific education from the patient adapted to fast. Practitian must advise a monitoring of glycemia, to insist on maintening a good nutrition and a normal level of exercise, to adapt the antidiabetic treatment to the conditions of fasting. Finally, assessment of the diabetic patient who fast must be total : implying healthcare professional, ancillarymedical, a representative of the Islamic religion and also family members.
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Master thesis
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https://hal.univ-lorraine.fr/hal-01733883
Contributor : Colette Orange <>
Submitted on : Wednesday, March 14, 2018 - 4:13:47 PM
Last modification on : Friday, October 23, 2020 - 4:58:43 PM
Long-term archiving on: : Wednesday, September 5, 2018 - 8:01:06 AM

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  • HAL Id : hal-01733883, version 1

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Serife Gundesli Dagtekin. Ramadan et diabète. Sciences du Vivant [q-bio]. 2008. ⟨hal-01733883⟩

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