Table 4.

Example of guidance for self-management for fasting diabetic patients to be included in posters and leaftets to support the consultations (Modified from reference 9)

Arrange your pre-Ramadan fasting consultation with the doctor or diabetes educator to review your control and feasibility of fasting safely and make notes of the changes you need to do during the fast. Record weight daily and inform doctor of a change of more than 2 kg. Learn the warning symptoms of hyperglycaemia and hypoglycaemia Take medication regularly as instructed. Continue gentle to moderate physical activity particulatly in the evening. Do not overeat after the fast is broken and minimise eating sweet or fatty foods. Record daily diet intake to help prevent excessive or very low consumption. If a complication occurs, break the fast immediately and seek medical help. Resist any temptation to persevere with the fasting till end of the day. Test blood glucose before and 2 hours after Iftar, before Sohur, and at mid day. At the end of Ramadan, reflect on your achievements and problems and feed back to the doctor/diabetes educator.