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Ramadan, Diabetes, and Optimizing Care: A Practical Approach Moderator Panelist Mohamed Hassanein, MB Adel El-Sayed, MD ChB, FRCP, MPhil Professor of Internal Medicine Consultant in Diabetes & and Diabetes; Endocrinology Chair, Diabetes Unit Dubai Hospital Sohag Faculty of Medicine Dubai, United Arab Emirates; Sohag University H Senior Lecturer, Sohag, Egypt Cardiff University Wales, United Kingdom Medscape EDUCATION Case Study: Sarah, Age 52 * T2DM, 12 years * Metformin, 500 mg three times daily * Glimepiride, 4 mg/d ° Insulin glargine, 30 units at night ° HbA1c 7.4% ° Usually fasts during Ramadan Wishes to do so next year, but concerned about hypoglycemic episodes that occurred during fasting last year * What would be your advice for Sarah? HoALc= glycated hemoglobin; T2DM=type? diabetes melitus Medscape Prevalence of Adult Diabetes in the MENA and WPAC Regions: IDF 2013 23% 23% «© 24% Qatar WPAC 37% 35% 35% Nour Vanuatu Cook Kibati Federated Marshall” Tokelau telance Staterot sands IBF ntaratosGinbete Faden MENA Middle ftandNonh aay whaccWesemPaae Wadi gCape hups://www.idforg/sites/default/files/DA6_Regional_factsheets_0.pdf FT EReON aa

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