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.