Document Detail

Management of diabetes mellitus on Yom Kippur and other Jewish fast days.
MedLine Citation:
PMID:  18463037     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To create guidelines for patients with diabetes to fast safely on Yom Kippur and other Jewish fast days, with the primary goal of avoiding hypoglycemia. METHODS: Almost 30 years of experience in endocrinology and the pharmacokinetics and pharmacodynamics of current drug therapy were applied to develop these guidelines and recommendations. A few illustrative cases are presented. RESULTS: Patients with either type 1 or type 2 diabetes were able to fast safely when a treatment plan was proactively formulated before the fast day. An understanding of which medications lower basal and which lower prandial blood glucose levels, as well as their duration of action, is critical. CONCLUSION: The overwhelming majority of patients with type 1 or type 2 diabetes can, from the perspective of blood glucose control, safely fast on Yom Kippur. Physician-patient discussion is important to prevent the patient from relying only on personal judgment and potentially taking too much medication, with the resultant development of hypoglycemia.
Martin M Grajower
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists     Volume:  14     ISSN:  1934-2403     ISO Abbreviation:  Endocr Pract     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-05-08     Completed Date:  2008-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9607439     Medline TA:  Endocr Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  305-11     Citation Subset:  IM    
Division of Endocrinology, Albert Einstein College of Medicine, Bronx, New York, USA.
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MeSH Terms
Aged, 80 and over
Antihypertensive Agents / therapeutic use
Blood Glucose / metabolism
Diabetes Mellitus, Type 1 / complications,  drug therapy*
Diabetes Mellitus, Type 2 / complications,  drug therapy*
Dose-Response Relationship, Drug
Guidelines as Topic
Hypertension / drug therapy
Hypoglycemia / etiology,  prevention & control*
Hypoglycemic Agents / therapeutic use*
Middle Aged
Reg. No./Substance:
0/Antihypertensive Agents; 0/Blood Glucose; 0/Hypoglycemic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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