Journal of Family Medicine and Primary Care

INVITED ARTICLE
Year
: 2020  |  Volume : 9  |  Issue : 8  |  Page : 3797--3806

Management of diabetes during fasting and COVID-19 – Challenges and solutions


Waseem N Ahmed1, Chankramath S Arun2, Thanuvelil G Koshy3, Abilash Nair4, Prasanth Sankar5, Sabeer A Rasheed6, Reeja Ann7 
1 Department of Family and Internal Medicine, CRAFT Hospital and Research Centre, Kodungallur, Thrissur, Kerala, India
2 Department of Endocrinology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
3 Department of Medicine, MOSC (Malankara Orthodox Syrian Church Medical College), Kolencherry, Ernakulam, Kerala, India
4 Department of Endocrinology, Govt. Medical College, Thiruvananthapuram, Kerala, India
5 Department of Internal Medicine and Diabetes, MGM Muthoot Hospitals, Pathanamthitta, Kerala, India
6 Dr Rasheed's Diabetic Specialty Center, Thiruvananthapuram, Kerala, India
7 Medical Officer, Govt Taluk Hospital, North Paravur, Ernakulam, Kerala, India

Correspondence Address:
Dr. Waseem N Ahmed
Consultant Family Physician, Department of Family and Internal Medicine, CRAFT Hospital and Research Centre, Kodungallur, Thrissur - 680 664, Kerala
India

Introduction: Fasting is observed as a religious custom in various forms across the globe. Among them, the Ramadan fasting is very common and widely practiced. People with diabetes observe fasting with or without obtaining medical advice. Uncontrolled diabetes appears to be a risk factor for COVID-19 infection and its poorer outcomes. Fasting during Ramadan is challenging in people with diabetes. This year, the background of COVID-19 made it difficult for both the patients and health care workers to effectively manage diabetes and its complications during Ramadan. Because of a lack of sufficient evidence, clinicians were perplexed in handling this difficult situation. Materials and Methods: We accessed PubMed, Google Scholar, various guidelines and other evidence-based articles to review the available current literature which deals with diabetes, Ramadan, and COVID-19. Results: The importance of pre-Ramadan assessment, adequate nutrition, and hydration, choosing the right therapy has been emphasized. This review tries to address the common practical challenges and relevant possible solutions for the same. Due consideration has been given to various socio-cultural practices that can influence the management of diabetes patients in the setting of Ramadan and COVID-19 pandemic. Conclusions: Diabetes is associated with increased severity and susceptibility to COVID-19. People with diabetes should go through systemic and structure-based management during fasting. Family physicians who deliver personalized care play a vital role in managing diabetes during this crisis period. Telemedicine is emerging as an effective mode of managing various needs of individuals.


How to cite this article:
Ahmed WN, Arun CS, Koshy TG, Nair A, Sankar P, Rasheed SA, Ann R. Management of diabetes during fasting and COVID-19 – Challenges and solutions.J Family Med Prim Care 2020;9:3797-3806


How to cite this URL:
Ahmed WN, Arun CS, Koshy TG, Nair A, Sankar P, Rasheed SA, Ann R. Management of diabetes during fasting and COVID-19 – Challenges and solutions. J Family Med Prim Care [serial online] 2020 [cited 2020 Sep 19 ];9:3797-3806
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=8;spage=3797;epage=3806;aulast=Ahmed;type=0