Ramadan Fasting and Diabetes Management among Muslims in the United States: An Exploratory Study

Abstract

There is a lack of knowledge and awareness among health care providers (HCPs) about how a member of the Islamic faith manages diabetes while fasting during Ramadan, which often leads to inadequate health advice and guidance, especially in Muslim-minority countries. The purpose of this study was to explore diabetes management practices among Muslims who chose to fast during Ramadan in the United States. Data were collected from 47 participants using a self-administered questionnaire that included measures on participants’ characteristics and diabetes management practices. The majority of the participants were males (61%), had type 2 diabetes (90%), and reported they fast during Ramadan (76%). Approximately, 26% of fasting participants reported they decreased the number of finger-stick glucose monitoring performed. Compared to non-fasting participants, fasting participants were more likely to change the dose and/or timing of their medications, but also more likely to include their HCPs in their health decisions. Almost 90% of fasting participants reported no increase in the amount of food consumed and no change in the consumption of concentrated sweets, greasy foods, and sugary drinks. This study supports the need to develop educational programs that involve religious leaders as well as HCPs to ensure patients receive health advice combining religious and medical directives.

Acknowledgements

The authors thank Beverly Murphy, the Hospital Nursing Liaison for the Duke Health System for her valuable support. The authors thank many people from the mosques who offered continual support and encouragement. Latefa Dardas was supported by Duke University and The University of Jordan.

Notes

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