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  • Title: [Diabetic ketoacidosis during the Ramadan fast].
    Author: Friedrich I, Levy Y.
    Journal: Harefuah; 2000 Jan 02; 138(1):19-21, 86. PubMed ID: 10868172.
    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.
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