[Diabetic ketoacidosis during the Ramadan fast].

Abstract

We report a 15-year-old Muslim boy with insulin-dependent diabetes mellitus (IDDM) who presented with diabetic ketoacidosis (DKA) during the Muslim Ramadan month of day-time fasting. DKA apparently occurred due to omitting pre-lunch insulin combined with dehydration and overeating during the permitted sunset-to-sunrise meals. It is well-known that fasting accelerates development of lipolysis and ketosis and increases glucagon levels. Thus, these pathophysiological aberrations related to fasting in ketosis-prone patients, in conjunction with fasting, endanger metabolic control in IDDM.

• Authors: I Friedrich, Y Levy
• Journal: Harefuah (Harefuah) Vol. 138 Issue 1 Pg. 19-21, 86 (Jan 02 2000) ISSN: 0017-7768 [Print] Israel
• PMID: 10868172 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adolescent
• Diabetes Mellitus, Type 1 (physiopathology)
• Diabetic Ketoacidosis (etiology)
• Fasting (adverse effects)
• Feeding Behavior
• Humans
• Islam
• Israel
• Male