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. 2017 Jun 23;32(2):265–273. doi: 10.3803/EnM.2017.32.2.265

Table 1. Changes Made to the Anti-Diabetic Medication Regimens during Ramadan.

Diabetic drug Total daily dose (pre-Ramadan) Modified Ramadan regimen
Iftara Suhurb
Metformin 1 g bidc 1 g 1 g
850 mg tidd 850 mg 850 mg
Sulfonylurea Glimepiride 2 or 4 mge 75% of the dose -
Glargine 10–65 unitsf 75% of the dose -
Regular insulin 15–75 unitsg 45% of the dose 30% of the dose
70% Isophane insulin and 30% regular insulin (premixed 70/30) 35–150 unitsg 45% of the dose 30% of the dose

bid, twice a day; tid, three times a day.

aIftar is the meal at sunset with which the fast is broken; bSuhur is a second meal, taken before dawn; cTaken with breakfast, and dinner; dTaken with breakfast, lunch, and dinner; eTaken with breakfast; fTaken at bedtime; gIn three divided doses taken 30 minutes before each meal.