توصیه‌های روزه‌داری در افراد مبتلا به دیابت بر اساس طب تلفیقی و متناسب با فرهنگ ایرانی: یک مطالعه‌ی مروری

نوع مقاله : مقاله مروری

نویسندگان

1 استاد، مرکز تحقیقات غدد و متابولیسم اصفهان. دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 متخصص طب ایرانی، مرکز تحقیقات غدد و متابولیسم اصفهان. دانشگاه علوم پزشکی اصفهان اصفهان، ایران

چکیده

 عده‌ی کثیری از مردم مسلمان در ماه رمضان روزه می‌گیرند، در حالی که بسیاری از این افراد، مبتلا به دیابت قندی می‌باشند. خطرات روزه‌داری در این افراد، شامل افت قند خون، افزایش قند خون، کتواسیدوز دیابتی و کمبود آب بدن است. پزشکان باید احتمال بروز این خطرات را در هر بیمار بررسی کرده و بر این اساس بیماران را راهنمایی کنند. با مدیریت، آموزش مناسب و مداخله‌ی صحیح، بسیاری از افراد مبتلا به دیابت می‌توانند در ماه رمضان با آسودگی روزه بگیرند اما برخی از آن‌ها هم نیاز به نظارت دقیق دارند. طبقه‌بندی‏های جدید سه گروه خطر را تعریف می‌کند. با کمّی‌سازی عوامل خطر متعدد، یک نمره‌ی خطر بدست می‏آید که در اجازه به روزه‌داری برای هر بیمار نقش مهمی دارد. افرادی که برخلاف توصیه‌های متخصصان مراقبت‌های بهداشتی خود روزه می‌گیرند باید از راهنمایی‌های متخصص بطور دقیق استفاده کنند تا کمتر در خطر بروز عوارض جدی قرار گیرند. در این مطالعه ابتدا به بیان خطرات و شرایط روزه‌داری افراد مبتلا به دیابت، بر اساس آخرین گایدلاین‌های بین‌المللی پرداخته‌ایم. سپس پیشنهادهایی از رژیم غذایی و سایر دستورات سبک زندگی این بیماران، بر اساس آموزه‌های طب سنتی ایران و مقالات موجود، ارایه شده است.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Recommendations for Ramadan Fasting in Patients with Diabetes Mellitus Based on Integrative Medicine and According to the Persian Culture- A Review Study

نویسندگان [English]

  • Mansour Siavash 1
  • Zahra Aghanouri 2
1 Professor, Endocrine and Metabolism Research Center of Isfahan. Isfahan University of Medical Sciences, Isfahan, Iran
2 Iranian Medicine Specialist, Endocrine and Metabolism Research Center of Isfahan. Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

A lot of the adult Muslim population will fast during Ramadan while many of those suffering from diabetes mellitus (DM). Risks of fasting for people with DM include hypoglycemia, hyperglycemia, ketoacidosis, and dehydration. Physicians should assess the likelihood of these risks in each patient and recommend him/her accordingly. With the right management and correct intervention, many people with diabetes can fast safely during Ramadan, but some of them need to be closely monitored and educated for the appropriate action. By quantifying multiple risk factors, a risk score is calculated that plays an important role in the decision/permission to fast for each patient. The new risk stratifying system defines three risk groups.  People, who fast against the advice of their physician/health care provider, should carefully follow the instructions of the expert to prevent serious complications. In this article, first, we discuss the risks of fasting in patients with diabetes mellitus, based on recent international guidelines and scientific pieces of evidence. Then we present dietary and lifestyle instructions for patients with diabetes mellitus during Ramadan, based on traditional Iranian medicine and also according to the latest pieces of evidence.

کلیدواژه‌ها [English]

  • Fasting
  • Diabetes mellitus
  • Integrative medicine
  • Life style
  • Persian medicine

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مجله دانشکده پزشکی اصفهان
دوره 41، شماره 706
هفته 2 فروردین
فروردین و اردیبهشت 1402
صفحه 42-53

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  • تاریخ دریافت: 12 فروردین 1401
  • تاریخ بازنگری: 19 اسفند 1401
  • تاریخ پذیرش: 19 اسفند 1401

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