Diabetes, driving and fasting during Ramadan: the interplay between secular and religious law
Open Access
- 30 June 2018
- journal article
- review article
- Published by BMJ in BMJ Open Diabetes Research & Care
- Vol. 6 (1), e000520
- https://doi.org/10.1136/bmjdrc-2018-000520
Abstract
A large proportion of the Muslim population fasts during Ramadan. The risk of hypoglycemia is increased with fasting during Ramadan in people with diabetes who are on insulin and insulin secretagogues. Therefore, the combination of fasting with diabetes and driving presents a challenging situation, with legal implications for such individuals and their healthcare professionals. This novel, narrative, non-systematic review discusses the importance of addressing hypoglycemia in fasting with reference to secular legal guidance on driving with diabetes. We discuss religious aspects relating to fasting and driving in Islam. While there is no clear guidance or legal position on diabetes and driving for individuals who are fasting, Islamic law provides a logical framework to address this. Healthcare professionals need to raise and facilitate discussions on this often-overlooked topic with people with diabetes who are planning on fasting to minimize the potential for public harm. For some individuals fasting perhaps should be avoided when driving and that this religiously compatible position would best be adopted when one is dependent on driving for livelihood. Ultimately further research on glycemic control and management when fasting and driving, as well as a formal legal guidance on this topic, is required to safeguard healthcare professionals and the public from the potential dangers of driving with diabetes and fasting.Keywords
This publication has 22 references indexed in Scilit:
- Multi‐country retrospective observational study of the management and outcomes of patients with Type 2 diabetes during Ramadan in 2010 (CREED)Diabetic Medicine, 2015
- Sleep-related collisions in United Arab EmiratesAccident Analysis & Prevention, 2013
- Western and Islamic bioethics: How close is the gap?Avicenna Journal of Medicine, 2013
- Summer–winter switching of the Ramadan fasts in people with diabetes living in temperate regionsDiabetic Medicine, 2011
- Recommendations for Management of Diabetes During RamadanDiabetes Care, 2010
- ‘Fasting and prayer don't concern the doctors … they don't even know what it is': communication, decision-making and perceived social relations of Pakistani Muslim patients with long-term illnessesEthnicity & Health, 2010
- Ramadan fasting and diabetesBMJ, 2007
- Medical ethics and Islam: principles and practiceArchives of Disease in Childhood, 2001
- Progressive hypoglycemia's impact on driving simulation performance. Occurrence, awareness and correction.Diabetes Care, 2000
- Insulin lispro (Lys(B28), Pro(B29)) in the treatment of diabetes during the fasting month of RamadanDiabetic Medicine, 1999