RamadanFastingandMuslimPatients.pptVIP

Ramadan Fasting and Muslim Patients Abstract “ Fasting from dawn to dusk in the holy month of Ramadan for healthy adult Muslims has been ordained and physically sick Muslims are exempt from it. However many Muslims with mild to moderate Diabetes, Hypertension and other medical conditions do want to fast. The purpose of this presentation is make some recommendations as to how they can fast safely in light of research on fasting” Quran 2:183 “ O you who believe! Fasting has been prescribed to you as it was prescribed to those before you so that you attain Taqwa (self restraint , God Awareness)” Who Cannot Fast 1. Physically sick ( Quran 2: 184-185) 2. Traveler on a journey (above) 3. Women during menstruation 4. ? Pregnant and lactating women 5. pre pubertal children Physiological Effects of Fasting On Calorie intake On fluid /water intake Effects on – Digestive System - Kidneys - Endocrine glands - Lipid Metabolism - Respiratory system - Neurological System Uniqueness of Islamic Fasting It is a voluntary undertaking rather than being ordered by a physician There is no selective food intake i.e. protein only, juice only, fruit only , water only etc There is no total calorie malnutrition i.e. it not a semi starvation diet. An exercise in self discipline i.e. from constant nibbling , drinking, smoking etc Psychological effect and additional prayer Effects of Fasting on Carbohydrate Metabolism 1. Slight fall in serum Glucose (to 60 mg) 2. Serum Insulin decreases due to 1 3. Serum Glucagon and Growth Hormone increases due to 1 4. Increase in sympathetic activity 5. Increase in liver Cyclic AMP due to 4 CHO Metabolism in Ramadan Slight decrease in first week then normalization by day 20 and some rise in the last week 22% children develop hypoglycemia (BG 40mg/dl) Increase Gluconeogenesis in liver Fasting and Lipid Metabolism Decrease in both Total Cholesterol