Integrating Fiqh evidences in the recommendation for management of diabetes during Ramadan

Introduction: In the year 2005, The American Diabetic Association (ADA) published the Recommendations of Management of Diabetes During Ramadan and an update was released in 2010. In 2015, another update was produced by the International Group for Diabetes and Ramadan (IGDR). One of the issues addres...

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Main Authors: Shahar, Mohammad Arif, Che Mohamad, Che Anuar, Hisham, Ahmad Irfan Ikmal, Omar, Ahmad Marzuki
Format: Conference or Workshop Item
Language:English
Published: Malaysian Endocrine & Metabolic Society (MEMS) 2016
Subjects:
Online Access:http://irep.iium.edu.my/52041/
http://irep.iium.edu.my/52041/
http://irep.iium.edu.my/52041/1/integrating%20fiqq%20evidences%20into%20the%20recommendations%20of%20amangement%20of%20diabetes%20during%20ramadan.pdf
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recordtype eprints
spelling iium-520412016-10-17T01:58:48Z http://irep.iium.edu.my/52041/ Integrating Fiqh evidences in the recommendation for management of diabetes during Ramadan Shahar, Mohammad Arif Che Mohamad, Che Anuar Hisham, Ahmad Irfan Ikmal Omar, Ahmad Marzuki RC Internal medicine Introduction: In the year 2005, The American Diabetic Association (ADA) published the Recommendations of Management of Diabetes During Ramadan and an update was released in 2010. In 2015, another update was produced by the International Group for Diabetes and Ramadan (IGDR). One of the issues addressed in the update was on the risk stratification for patients planning to fast during the holy month. Despite this stratification, patients with diabetes choose to continue to observe their fast regardless of the risk, as shown in the CREED study. Lack of Islamic Jurisprudence (Fiqh) evidences presented in the document, issue on fasting as a personal choice and lack of clinical evidences pertaining to diabetes and Ramadan may account for the low acceptance among Muslims. Objectives: 1. To compare the ADA and IGDR risk classification criteria with Fiqh evidences and to identify any discordant. 2. To compare the advice on observing fasting for diabetic patients based on the ADA and IGDR recommendations with Fiqh ruling. Methods: The recommendations published by ADA (in 2005 and 2010) and IGDR (2015) were reviewed with particular focus on the risk stratification criteria. Searches were performed from selected classical and contemporary sources of Islamic Jurisprudence (Fiqh) via Maktabah Shamilah: 1) Quran and commentary of the Quran: Ibn Kathir, Qurtubi, Ar Razi, Munir etc, 2) the Prophet’s tradition (Sunnah) from major 6 books of sunnah and their commentaries (Fathul Bari for Sahih Bukhari, Minhaj for Sahih Muslim, and commentaries for other book of Sunan) and book of fiqh and usul fiqh: Majmu’ Sharhul Muhazzab, Bidayatul Mujtahid, Mausua’h Fiqhiyyah al Muayassarah, Muwaffaqat etc., in order to verify the fiqh arguments by the recommendations as well as to explore other available scholarly opinions. Each risk criteria were then classified as “evidence available from Quran”, “evidence availabe from Sunnah” or “Ijtihaad”. Results: While most of the classification criteria are mainly Ijtihaadi that is not without support from Fiqh evidences, many cut-off points are arbitrary and require proper clinical studies and further detailing. The Fiqh evidences bring a notion that fasting is not a personal choice. Rather, fasting is an obligation with exemptions in certain condition set by Islamic Law (Syari’a). The advice “to allow fasting” and “fasting not recommended” are loose and may cause possible misguidance. Advice “obliged to fast”, “may choose not to fast” and “eligible for exemption (rukhsoh)” is more appropriate in Fiqh point of view. Conclusion: The integration of evidences of Fiqh into current recommendations or guidelines for management of diabetes during Ramadan is necessary to ensure that fasting related advice not only addresses safety issues but also in line with the principles of Islamic Jurisprudence. Malaysian Endocrine & Metabolic Society (MEMS) 2016-05-19 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/52041/1/integrating%20fiqq%20evidences%20into%20the%20recommendations%20of%20amangement%20of%20diabetes%20during%20ramadan.pdf Shahar, Mohammad Arif and Che Mohamad, Che Anuar and Hisham, Ahmad Irfan Ikmal and Omar, Ahmad Marzuki (2016) Integrating Fiqh evidences in the recommendation for management of diabetes during Ramadan. In: 7th MEMS Annual Congress, 19-22 May 2016, Kuala Lumpur. http://www.mems.my/section.php?sid=4&dc=past
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RC Internal medicine
spellingShingle RC Internal medicine
Shahar, Mohammad Arif
Che Mohamad, Che Anuar
Hisham, Ahmad Irfan Ikmal
Omar, Ahmad Marzuki
Integrating Fiqh evidences in the recommendation for management of diabetes during Ramadan
description Introduction: In the year 2005, The American Diabetic Association (ADA) published the Recommendations of Management of Diabetes During Ramadan and an update was released in 2010. In 2015, another update was produced by the International Group for Diabetes and Ramadan (IGDR). One of the issues addressed in the update was on the risk stratification for patients planning to fast during the holy month. Despite this stratification, patients with diabetes choose to continue to observe their fast regardless of the risk, as shown in the CREED study. Lack of Islamic Jurisprudence (Fiqh) evidences presented in the document, issue on fasting as a personal choice and lack of clinical evidences pertaining to diabetes and Ramadan may account for the low acceptance among Muslims. Objectives: 1. To compare the ADA and IGDR risk classification criteria with Fiqh evidences and to identify any discordant. 2. To compare the advice on observing fasting for diabetic patients based on the ADA and IGDR recommendations with Fiqh ruling. Methods: The recommendations published by ADA (in 2005 and 2010) and IGDR (2015) were reviewed with particular focus on the risk stratification criteria. Searches were performed from selected classical and contemporary sources of Islamic Jurisprudence (Fiqh) via Maktabah Shamilah: 1) Quran and commentary of the Quran: Ibn Kathir, Qurtubi, Ar Razi, Munir etc, 2) the Prophet’s tradition (Sunnah) from major 6 books of sunnah and their commentaries (Fathul Bari for Sahih Bukhari, Minhaj for Sahih Muslim, and commentaries for other book of Sunan) and book of fiqh and usul fiqh: Majmu’ Sharhul Muhazzab, Bidayatul Mujtahid, Mausua’h Fiqhiyyah al Muayassarah, Muwaffaqat etc., in order to verify the fiqh arguments by the recommendations as well as to explore other available scholarly opinions. Each risk criteria were then classified as “evidence available from Quran”, “evidence availabe from Sunnah” or “Ijtihaad”. Results: While most of the classification criteria are mainly Ijtihaadi that is not without support from Fiqh evidences, many cut-off points are arbitrary and require proper clinical studies and further detailing. The Fiqh evidences bring a notion that fasting is not a personal choice. Rather, fasting is an obligation with exemptions in certain condition set by Islamic Law (Syari’a). The advice “to allow fasting” and “fasting not recommended” are loose and may cause possible misguidance. Advice “obliged to fast”, “may choose not to fast” and “eligible for exemption (rukhsoh)” is more appropriate in Fiqh point of view. Conclusion: The integration of evidences of Fiqh into current recommendations or guidelines for management of diabetes during Ramadan is necessary to ensure that fasting related advice not only addresses safety issues but also in line with the principles of Islamic Jurisprudence.
format Conference or Workshop Item
author Shahar, Mohammad Arif
Che Mohamad, Che Anuar
Hisham, Ahmad Irfan Ikmal
Omar, Ahmad Marzuki
author_facet Shahar, Mohammad Arif
Che Mohamad, Che Anuar
Hisham, Ahmad Irfan Ikmal
Omar, Ahmad Marzuki
author_sort Shahar, Mohammad Arif
title Integrating Fiqh evidences in the recommendation for management of diabetes during Ramadan
title_short Integrating Fiqh evidences in the recommendation for management of diabetes during Ramadan
title_full Integrating Fiqh evidences in the recommendation for management of diabetes during Ramadan
title_fullStr Integrating Fiqh evidences in the recommendation for management of diabetes during Ramadan
title_full_unstemmed Integrating Fiqh evidences in the recommendation for management of diabetes during Ramadan
title_sort integrating fiqh evidences in the recommendation for management of diabetes during ramadan
publisher Malaysian Endocrine & Metabolic Society (MEMS)
publishDate 2016
url http://irep.iium.edu.my/52041/
http://irep.iium.edu.my/52041/
http://irep.iium.edu.my/52041/1/integrating%20fiqq%20evidences%20into%20the%20recommendations%20of%20amangement%20of%20diabetes%20during%20ramadan.pdf
first_indexed 2023-09-18T21:13:47Z
last_indexed 2023-09-18T21:13:47Z
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