Ramadan Fasting with Diabetes: How to keep fast in Ramadan for diabetic patients, know from the doctor how to manage the fasting window.

Can People with Type 2 Diabetes Fast During Ramadan: Ramadan fasting is very important, but for people suffering from diabetes, it needs to be done thoughtfully. With proper preparation, a balanced diet, adequate water and doctor’s advice, many people can observe Roza safely. Staying hungry and thirsty for a long time without planning can cause sudden drop or rise in blood sugar, dehydration and problems.

What do experts say?

Dr. Anshul Singh told TOI that it is important to consult a doctor before starting the fast. Regularly checking blood sugar is equally important and does not break the fast. A sudden fall or rise in the sugar level can be detected in time. According to diabetologist Dr. Rajeev Kovil, first of all “risk stratification” is necessary. People whose type 2 diabetes is under control can fast under medical supervision. But patients who have kidney disease, heart disease, heart failure, pregnancy or recent infection should avoid fasting. Changes in medications may also be necessary, especially if the patient is taking insulin or a sulfonylurea. The morning dose can be reduced or shifted to the evening so that the sugar does not fall too low.

What should you keep in mind?

Sehri food should be balanced, include slowly digesting carbohydrates, adequate protein and fiber. Like boiled egg with oats upma, curd with besan cheela, grilled chicken and millet roti, or vegetable omelette. Avoid salty and overly sweet foods as they increase thirst and can increase sugar levels rapidly. Break the fast slowly during Iftar. Dates are part of the tradition, but include them in the carbohydrate count. Start with one date and water, then after some time have light soup. Keep half the quantity of non-starchy vegetables in the plate, one fourth part of proteins like chicken, fish, pulses and one fourth part of whole grains. Avoid fried dishes and excessive sweets, as sugar can increase rapidly at night.

It is necessary to get blood glucose checked

Dr. David Chandy explains that it is important to check blood glucose several times a day, including before Sehri, in the afternoon, in the evening and two hours after Iftar. If sugar becomes less than 70 mg/dL or more than 300 mg/dL or there are symptoms of dizziness, sweating, weakness or dehydration, then the fast should be broken immediately. Hydration is also very important. Drink 8 to 10 glasses of liquid between Iftar and Sehri, of which lemonade, infused water, buttermilk, soup or herbal tea are better options. Limit caffeine. Experts say that Ramadan and diabetes can go together, but the condition is that preparation, balance and medical monitoring should be proper.

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