A collection of Curbside Consultation published in AFP is available at http://www.aafp.org/afp/ curbside. Case Scenario A 68-year-old Muslim man who was recently diagnosed with type 2 diabetes mellitus presented for a routine health visit. His initial A1C level was 8.2%, which decreased to 6.7% after dietary changes, exercise, and treatment with metformin (Glucophage). He stated that he wanted ...

The Islamic fast during the month of Ramadan is strictly observed worldwide by millions of Muslims. Ramadan is the 9th month of the Islamic lunar calendar and fasting during Ramadan is the religious duty of all healthy adult Muslims. A whole month of intermittent fasting, from dawn to dusk, every year is particular only to Islam and considering that Islam has over 1.5 billion followers worldwid...

Objective Women with gestational diabetes mellitus (GDM) are categorized as at high risk for adverse events during Ramadan fasting. However, this is largely based on clinical opinion. In this study, we shed some light on what happens to glucose levels during Ramadan fasting. Methods This is a prospective observational study. A total of 32 patients with GDM were recruited; 10 patients, treated...

Each year, many pregnant Muslim women fast during Ramadan. Using Indonesian cross-sectional data and building upon work of Almond and Mazumder (2011), I show that people who were prenatally exposed to Ramadan fasting have a poorer general health than others. As predicted by medical theory, this effect is especially pronounced among older people, who also more often report symptoms indicative of...

BACKGROUND The effects of Ramadan fasting (RF) on clopidogrel antiplatelet inhibition were not previously investigated. The present study evaluated the influence of RF on platelet reactivity in patients with high cardiovascular risk (CVR) in particular those with type 2 diabetes mellitus (DM). METHODS A total of 98 stable patients with ≥2 CVR factors were recruited. All patients observed RF a...

The present issue is the second in 4th year of Journal's life. From this onward, we aim to implement original plan producing four issues per year. This should allow more articles be published and also timely publication accepted as soon they are with no significant delay editorial production. Nonetheless, will strive maintain quality adheres strictly good practices scholarly publishing.

introduction: although fasting has many benefits for health, it can be dangerous for patients. so it is necessary that physicians have adequate information about clinical aspects of fasting and they should advice patients. therefore in this study we analyses the condition of physicians counseling about fasting from the perspective of patients. methods:in this descriptive analytical cross-sectio...