Diabetes en Ramadan (WC2017-077)

Background

Starting date: 01/08/2017

The prevalence of diabetes, and especially type 2 diabetes mellitus (T2DM) is two to three times higher in people of a Moroccan or Turkish decent, when compared to the indigenous Dutch population. The majority of the former are Muslim, who choose to fast during the Ramadan, despite having the option of dispensations. During the fasting period the risk of developing acute T2DM-related complications, such as dehydration, hypo- and hyperglycaemia, is increased 4.7-fold. Often, the relatively worse metabolic state of this population is explained by a lack of knowledge about T2DM due to a language barrier (in which differences in language and low language-comprehension both play a role), psychosocial and cultural impediments, and an insufficient culture-specificity of the existing diabetes-education and -guidance programs.

While several instructional leaflets about the adaption of T2DM-medication during the Ramadan exist in The Netherlands, there is a lack of guidelines on how to structure T2DM-care in Muslims during the month of Ramadan. Furthermore, as yet no all-encompassing Diabetes-Ramadan Education- and Medication guidance program exists for care professionals,  nor are there sufficient information-materials for patients.