Hiperglikemia pada Pasien Diabetes Melitus Tipe 1 dan 2 yang Menjalani Puasa Ramadan : Laporan Kasus

Iwal Reza Ahdi, Laksmi Sasiarini


Background: Ramadan fasting is an obligation for every Muslim, including Muslim patients who suffer from diabetes mellitus. The most common complication in diabetic patients when fasting is hypoglycemia, but in special conditions, hyperglycemia can also occur, and even emergency occurs in both type 1 and type 2 diabetes patients. Purpose: To know the hyperglycemia complications in type 1 and 2 diabetes mellitus in Ramadhan fasting Methods: Reported a case of inpatient diabetes mellitus 1 and 2 who underwent fasting during Ramadan and complications of hyperglycemia occurred in dr. Saiful Anwar Hospital (RSSA) Malang during the month of Ramadan Results: Both patients experienced hyperglycemia which was a response to an increase in response to hypoinsulinemia in type 1 diabetes and an increase in glycogenolysis in DM type 2. Conclusion: Hyperglycemia can occur in patients with type 1 and 2 DM who fast during the month of Ramadan

Full Text:



Al-Arouj M, Assaad-Khalil S, Buse J, Fahdil I, Fahmy M, Hafez S, Hassanein M, Ibrahim MA, Kendall D, Kishawi S, Al-Madani A. Recommendations for management of diabetes during Ramadan: update 2010. Diabetes care. 2010 Aug 1;33(8):1895-902.

Karamat MA, Syed A, Hanif W. Review of diabetes management and guidelines during Ramadan. Journal of the Royal Society of Medicine. 2010 Apr 1;103(4):139-47.

Elmehdawi. 2009. Incidence of diabetic ketoacidosis during ramadhan fasting in benghazi Libya. OMJ. 24 99-102

Salti I, Be´nard E, Detournay B, Bianchi- Biscay M, Le Brigand C, Voinet C, Jabbar A, EPIDIAR study group. A populationbased study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study. Diabetes Care. 2004;27:2306–2311

Cryer PE, Davis SN, Shamoon H. Hypoglycemia in diabetes (Review). Diabetes Care. 2003;26:1902–1912

Felig P. Starvation In Endocrinology. DeGroot LJ, Ed. New York, Grune & Stratton. 1979, p. 1927–1940

Cahill GF Jr. Starvation in man. N Engl J Med. 1970;282:668–675

Reiter J, Wexler ID, Shehadeh N, Tzur A, Zangen D. Type 1 diabetes and prolonged fasting. Diabet Med, 2007;24:436–439

Halberg N, Henriksen M, So¨derhamn N, Stallknecht B, Ploug T, Schjerling P, Dela

F. Effect of intermittent fasting and refeeding on insulin action in healthy men. J Appl Physiol 2005;99:2128– 2136

Varady KA, Hellerstein MK. Alternateday fasting and chronic disease prevention: a review of human and animal trials. Am J Clin Nutr 2007;86:7–13

Uysal AR, Erdog˘an MF, Sahin G, Kamel N, Erdog˘an G. Clinical and metabolic effects of fastingin 41 type 2 diabetic patients during Ramadan (Letter). Diabetes Care 1998;21:2033– 2034

Laing SP, Swerdlow AJ, Slater SD, Botha JL, Burden AC, Waugh NR, Smith AW, Hill RD, Bingley PJ, Patterson CC, Qiao Z, Keen H. The British Diabetic Association Cohort Study, II: cause-specific mortality in patients with insulintreated diabetes mellitus. Diabet Med. 1999;16:466 – 471

Miller CD, Phillips LS, Ziemer DC, Gallina DL, Cook CB, El-Kebbi IM. Hypoglycemia in patients with type 2 diabetes. Arch Int Med 2001;161:1653– 1659

Hassanein, M., et al., Diabetes and Ramadan: practical guidelines International Diabetes Federation (IDF) in collaboration with the Diabetes and Ramadan (DAR) International Alliance. 2016.

Babineaux, S.M., et al., Multi-country retrospective observational study of the management and outcomes of patients with Type 2 diabetes during Ramadan in 2010 (CREED). Diabet Med, 2015. 32(6): p. 819-28.

Beshyah, W.S. and S.A. Beshyah, Bibliometric analysis of the literature on Ramadan fasting and diabetes in the past three decades (1989–2018). Diabetes research and clinical practice, 2019. 151: p. 313-322.

Salti, I., et al., A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study. Diabetes Care, 2004. 27(10): p. 2306-11.

DOI: https://doi.org/10.18860/jim.v6i1.13741


  • There are currently no refbacks.


Editorial Office:

Faculty of Medical and Health Sciences,
Universitas Islam Negeri Maulana Malik Ibrahim
Gedung Ibnu Thufail Lt.1, Jln. Locari, Desa Tlekung, Kota Batu
Phone (+62) 85746163772, (+62) 85259506000, Faximile (+62) 341 558933
e-mail: medicaljournal@uin-malang.ac.id

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.