DIABETES & RAMADAN: FASTING THE RIGHT WAY With the holy month of Ramadan here, fasting (as prescribed) in the month may be somewhat tricky for those suffering from diabetes. Dr. Mahir Khalil Jallo, Clinical Professor/Consultant Internal Medicine & Endocrinology reveals how individuals suffering from diabetes can fast safely in order to maintain optimal health.
Health conditions
Fasting in Ramadan can usually be accomplished safely, says Dr. Jallo. “However, in individuals with health conditions, it’s best to consult a doctor who will determine if the individual will be able to fast safely, especially if he/she are taking any medications as it is not safe to skip these during fasting hours,” he says.
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“Always remember, if you feel unwell during a fast, try to rest, consider sipping some juice, and consult your clinician if your symptoms do not improve.”
Chronic medical issues Fasting is not meant to create excessive hardship
on the Muslim individual. Some patients with diabetes fall under the exempted category because their chronic metabolic disorder may place them at high risk for various complications with marked alteration of the pattern and amount of their meal and fluid intake, says Dr. Jallo. “If they insist on fasting during Ramadan, they are creating a medical challenge for themselves and their physicians.” These risks include hypoglycemia, hyperglycemia, DKA and dehydration. He points out that physicians must quantify these risks and stratify each individual accordingly. “With the correct guidance, many people with diabetes can fast during Ramadan safely, but they must be under the close supervision of their care provider and made aware of the risks of fasting,” he says. “Individuals who fast against the advice provided by their healthcare professionals should follow expert and detailed guidance
