RAMADHAN EXPERIENCE – A STREAMLINED DIABETES IN RAMADHAN PATIENT EDUCATION PROGRAM

Introduction. The incidence of Type 2 Diabetes Mellitus (DM) in Malaysia is increasing, with 59% in Malays followed by other races. Fasting in Ramadhan for those with DM is challenging and requires comprehensive medical advice. Diabetic complications during fasting is mainly seen in patients with improper disease control or inadequate information. This novel diabetes in Ramadhan patient education program aims to facilitate knowledge attainment and improve dissemination of information to mitigate the risk of complications in Ramadhan and to pave the way to fasting safely. Methods. A compilation of important information on managing diabetic challenges during fasting month was assembled, gathered mainly from the Malaysian DM practice guidelines and the International Diabetes Federation (IDF) Diabetes in Ramadan Guideline. Result. This program provided comprehensive education on fasting in Ramadhan for people with DM in an engaging manner, conducted at the UiTM clinic facilities by the Endocrine team consisting of physicians and diabetic educators. The program was organised into three main parts: (1) personalized risk stratification; (2) lifestyle modification group session – participants were gathered for knowledge lectures and coaching on optimal dietary and physical activity; and (3) medication management -detailed explanation on treatment titration during fasting. This program was facilitated by a specially designed educational guide, describing important information on the risk categories for fasting in Ramadhan, timing of blood sugar monitoring, when to break the fast in the event of complication with management steps, and structured dietary tips. Conclusion. This innovative program has been tailored for use in the local population, and provides an essential service that is hugely beneficial, but currently lacking in this country. On this comprehensive and engaging platform, important information on managing diabetes in Ramadhan can be accessible to a wider population, leading to better patient care, and hence a has huge potential for sustainability.