Is Ramadan Fasting Safe for Kidney Transplant Patients with Normal Renal Function? 5 Case Reports

Ramadan fasting is prescribed for every healthy Muslim in Islamic countries. Although fasting is not mandatory for kidney transplant patients in these countries, some of them are willing to fast and ask their physicians whether it would affect their renal function. Case Reports: We have five kidney transplant patients, two men and three women, with normal allograft function and or mild allograft dysfunction that they fast during the month of Ramadan. The ages of our patients were between 25 to 40 years and any one of them had diabetes mellitus. All of five recipients underwent transplantation at least 1 year prior to the month of Ramadan, and had stable allograft function for at least 6 months prior to the fasting.Their plasma creatinine levels were between 0.9 to 1.4 mg/dl before Ramadan and there were no significant changes after that. They also have any clinical problem during the month of Ramadan. In conclusion, it seems that fasting during the month of Ramadan does not associated with any significant adverse effects in kidney transplant recipients who had normal as well as mild impaired but stable renal function prior to fasting.