Diabetes mellitus is a disease in which the body’s ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose in the blood.
Ideally, in case of diabetes fasting is not allowed. However during Ramadan, if you really like to keep fast, following guidelines will help you.
Lower risk – Healthy individual with hba1c lower range than 7.0% and treated with oral medications. May choose to fast but observe the body changes.
Moderate risk – Healthy individual with hba1c lower range at 8.0% and treated with oral medications. May choose to fast but always take precautions.
High risk – Individuals with the complications with uncontrolled sugar control are not advice to fast. A person with type 1 diabetes, severe hypo or hyperglycemia symptoms, acute illness, intense physical labor, pregnancy, renal conditions, on dialysis.
All those under high-risk category are not allowed to fast.
For the good and normal blood sugar control always follow a healthy diet. Which include complex carbohydrates, high fibre food, good quality protein, healthy fats.
In order to minimise adverse side effects during fasting in patients with diabetes and improve or maintain glucose control, education and discussion of glucose monitoring and treatment regimens should occur several weeks prior to Ramadan
A condition of blood glucose elevation is hypoglycemia and hyperglycemia.
In case hypoglycemia person feels palpitation, weakness, shakiness, dizziness, sweating, anxiety, nervousness, headache. So watch or observe for the symptoms.
Recommendations for prevention of hypoglycemia during Ramadan
Hyperglycemia is a condition when your blood sugar levels are more than the normal range. This is more than 200 mg/dl.
Classic symptoms are increased thirst, increased hunger pains, frequent urination, blurred vision, confusion, dry mouth and headache.
To avoid this take a medication guidelines, healthy diet before and during Ramadan.
Dr. Sushama Ghag
Aster Hospital Mankhool
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