April 12, 2021

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Management of diabetes and other diseases during Ramadan

During the holy month of Ramadan, our daily routine and eating habits change drastically. As a result, those who have chronic diseases, such as diabetes, high blood pressure, thyroid, asthma, etc., have to take many medicines throughout the year, they have to be careful. Diet is closely linked to diet management. So I want to be careful about eating habits.

Management of diabetes and other diseases during Ramadan
What should be the food
During Ramadan, people should not eat from dawn to sunset. Depending on the geographical location and season, this period can range from 14 hours to a maximum of 23 hours. In our country, the time between Sahri and Iftar can be a maximum of 18 hours. There is a lot of debate about whether a diabetic patient should not eat for such a long time. The Holy Qur’an also exempts the sick from fasting (Surah Al-Baqara: verses 173-185). If a diabetic patient does not eat for a long time due to a broken metabolic system, various physical problems can occur. But if a diabetic wants to fast because of religious interests, it is not possible to forbid him. So even if you fast, you have to be careful.

 

The risks that a diabetic patient may experience during fasting include low blood glucose levels (hypoglycemia), high blood glucose levels (hyperglycemia), diabetic ketoacidosis, dehydration and thromboembolism.

Food management
Sahri’s food should be eaten shortly before the last time. Don’t miss out.

Sweet and fatty foods should not be eaten in large quantities during Iftar. Excessive fried foods not only raise sugar, blood pressure and blood cholesterol, but can also cause indigestion and peptic ulcer symptoms.

Adequate amount of water and nutritious food should be eaten so that he does not become dehydrated. Lots of fruits, vegetables, pulses and pickles can be listed. You can drink coconut water.

The amount and type of food should be adjusted keeping the calories in the food. You need to eat the right amount at the right time. Maintain proper weight and calorie levels.

The amount of calories you used to eat before Ramadan, you have to change the time and type of food to keep the amount of calories in Ramadan. If necessary, the food list should be fixed by contacting the nutritionists. It should be noted that the food should be in harmony with the medicine. Enough iftar time and a little food should be avoided on the last night. Complex sugary foods should be eaten during sahri. And iftar should be eaten easily digestible food.

Check
A fasting diabetic patient should check his blood glucose level frequently. A blood test with a glucometer does not break the fast. It is good to check blood glucose levels several times a day (at least three times). Must see if it ever feels bad. If the blood glucose is less than 4 mmol or more than 18 mmol, the fast should be broken.

In addition, occasionally measure blood pressure. Eating more salty and oily foods can lead to fluctuations in blood pressure due to changes in sleep schedule. You can tell if you are dehydrated by looking at the amount and color of the urine, and if the skin is dry and the skin is fading.

Exercise and hard work
Normal physical activity can be done, but it is better not to do too much hard work or exercise. It can cause hypoglycemia. And if Tarabih prayers are offered, it can be considered as physical labor.

Pre-Ramadan assessment
Diabetics who are aware of all the risks and are determined to fast should undergo the necessary tests before starting fasting. These include blood glucose, lipids, liver, kidney and heart function tests, HBA 1C, etc. Check with your doctor for a new schedule of medication or insulin before Ramadan.

Those who take high blood pressure, heart or other medicines should also follow up before Ramadan to know the rules of the medicine.

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