|
If you are seeing this message, you may be experiencing temporary network problems. Please wait a few minutes and refresh the page. If the problem persists, you may wish to report it to your local Network Manager.
It is also possible that your web browser is not configured or not able to display style sheets. In this case, although the visual presentation will be degraded, the site should continue to be functional. We recommend using the latest version of Microsoft or Mozilla web browser to help minimise these problems.
Wiley InterScience | ||
  Diabetic MedicineVolume 24 Issue 4, Pages 436 - 439 Published Online: 15 Mar 2007 Journal compilation © 2008 Diabetes UK
Abstract | References | Full Text: HTML, PDF (Size: 126K) | Related Articles | Citation Tracking  Type 1 diabetes and prolonged fasting J.R. and I.D.W. contibuted equally to this study. Copyright © 2007 The Authors. Journal compilation © 2007 Diabetes UK. KEYWORDS IDDM • fast day • fasting Diabet. Med. (2007) ABSTRACTAims Fasting is common in several religions. The aims of this study were to determine if prolonged fasting (> 25 h) is safe for individuals with Type 1 diabetes and to identify factors associated with success. Methods Patients intending to fast were instructed on insulin dose adjustments, frequent glucose monitoring and when to terminate the fast using a standard protocol. Clinical and epidemiological factors were recorded and a comparison was made between successful and unsuccessful fasters. Results Of 56 subjects who intended to fast, 37 (65%) were successful. Individuals terminated their fast in the presence of either hypoglycaemia or hyperglycaemia and adherence to the protocol was high. There were no serious side-effects of fasting. Successful fasters had greater reductions in insulin dosage and higher HbA Conclusions Persons with Type 1 diabetes can participate safely in prolonged fasts provided they reduce their usual insulin dose significantly and adhere to guidelines regarding glucose monitoring and indications for terminating fasting. Accepted 16 October 2006 |
