Categories of risks in patients with type 1 or type 2 diabetes who fast during Ramadan
Very high risk |
Severe hypoglycemia within the last 3 months prior to Ramadan |
Patient with a history of recurrent hypoglycemia |
Patients with hypoglycemia unawareness |
Patients with sustained poor glycemic control |
Ketoacidosis within the last 3 months prior to Ramadan |
Type 1 diabetes |
Acute illness |
Hyperosmolar hyperglycemic coma within the previous 3 months |
Patients who perform intense physical labor |
Pregnancy |
Patients on chronic dialysis |
High risk |
Patients with moderate hyperglycemia (average blood glucose between 150 and 300 mg/dl, A1C 7.5–9.0%) |
Patients with renal insufficiency |
Patients with advanced macrovascular complications |
People living alone that are treated with insulin or sulfonylureas |
Patients living alone |
Patients with comorbid conditions that present additional risk factors |
Old age with ill health |
Drugs that may affect mentation |
Moderate risk |
Well-controlled patients treated with short-acting insulin secretagogues such as repaglinide or nateglinide |
Low risk |
Well-controlled patients treated with diet alone, metformin, or a thiazolidinedione who are otherwise healthy |
Very high risk |
Severe hypoglycemia within the last 3 months prior to Ramadan |
Patient with a history of recurrent hypoglycemia |
Patients with hypoglycemia unawareness |
Patients with sustained poor glycemic control |
Ketoacidosis within the last 3 months prior to Ramadan |
Type 1 diabetes |
Acute illness |
Hyperosmolar hyperglycemic coma within the previous 3 months |
Patients who perform intense physical labor |
Pregnancy |
Patients on chronic dialysis |
High risk |
Patients with moderate hyperglycemia (average blood glucose between 150 and 300 mg/dl, A1C 7.5–9.0%) |
Patients with renal insufficiency |
Patients with advanced macrovascular complications |
People living alone that are treated with insulin or sulfonylureas |
Patients living alone |
Patients with comorbid conditions that present additional risk factors |
Old age with ill health |
Drugs that may affect mentation |
Moderate risk |
Well-controlled patients treated with short-acting insulin secretagogues such as repaglinide or nateglinide |
Low risk |
Well-controlled patients treated with diet alone, metformin, or a thiazolidinedione who are otherwise healthy |