Rapidly Controlled Diabetes Mellitus: A Six-month Experience with the Ramadan Fasting Effect

This is a brief case reporting a type-II diabetic patient with poor glycemic control that improved after diet/lifestyle change, coinciding with fasting during Ramadan. A 47-year-old patient presented with severe polyurea, polydipsia, vision disturbances, and sudden weight loss of 10 kg. The initial check showed a high random glucose level (514 mg/dL) that was confirmed with a high HbA1c (17 mmol/L), but without any hyperosmolar nonketotic diabetic coma (HHNC) and with a remarkable visual deterioration. The patient underwent immediate medical intervention by administering metformin (500 mg/BID). The patient underwent complete pharmacotherapy in conjunction with diet control and lifestyle change during and after the Ramadan month. After one month, all the hyperglycemic symptoms subsided significantly, even the visual complaints. Rapid reduction of the estimated glucose level (HbA1c, from 17.63 to 5.8) in six months was reported, returning to normal vision level, and body weight was restored (77.6 – 82 Kg).