Diabetes and Ramadan 2022 guidelines

What should a diabetic patient eat or not eat in Ramadan month?

In today’s world, millions of Muslims fast during the lunar month of Ramadan. A diabetic patient may face several risks due to changes in the amount and timing of food and drink during Ramadan. Such as hypoglycemia(lower blood glucose level) or hyperglycemia(higher blood glucose level), dehydration.

If your blood glucose level/Diabetes is under control, then fasting is safe for you. There are some precautions that you must follow, however.

For examples:

  1. Sahur or sehri is a must.
  2. Sahur(Sehri) should be taken at the very last moment. For example, if the fasting start at 3.20 AM and end 5.10 AM, then you should eat at 4.40 to 5.10 AM.
  3. Avoid The consuming food and water with high carbohydrate content during meals to break the fast during Ramdan.
  4. Eat a suitable snack late after dinner at night.
  5. Drinks minimum eight glasses of water daily during Ramdan.
  6. Take the medication and insulin shots at the regular time with the endocrinologist’s advice.

So, please, don’t fast or not fast without getting some physicians advice first, if it possible.

International Diabetes Federation and Diabetes And Ramdan Practical guidelines 2022

International Diabetes Federation and Diabetes and Ramdan Practical Guidelines 2021 pdf download.

IDF – DAR practical guidelines, Ramdan and Diabetes practical guidelines 2021:

IDF-DAR Practical Guidelines 2021 pdf for Physician

Is safe fasting for Diabetes Patients?

Fasting is safe in Well controlled type 2 Diabetes Mellitus but not safe in Type 1 Diabetes Mellitus.

Learn more: Type 1 and Type 2 Diabetes Mellitus

Who are the most at the risk of diabetics during fasting in Ramadan?

Excessive low blood glucose within three months before the onset of Ramadan, often with a tendency to lower blood glucose, high blood glucose without the patient understanding it, high blood sugar(glucose) and high acidity within three months before the start of Ramadan Fasting becomes risky if there are past events. In addition, fasting is risky if the blood concentration of sugar is raised during the three months before the start of Ramadan or if you are pregnant. Not only that, those who do extra manual labor such as workers, rickshaw pullers, housemaids, kidney patients — who have to undergo regular dialysis, sick and elderly patients with diabetes complications are out of control, physical illness — fever, diarrhea, etc., but fasting is risky. It is better not to fast in Ramadan for high risk diabetics. If one wants to fast, he must get the permission of a doctor.

Things to do before the begin of Ramadan month:

Physicians should try to control it by measuring blood sugar, blood pressure and blood fat levels. The amount and schedule of Ramadan food, and the amount of drugs and insulin should be well understood by the doctor.

Things to do in Ramadan:

Diabetics must follow certain rules about eating and drinking during Ramadan. It is usually eaten three times during Ramadan. That is iftar, dinner and Seheri. Iftar: Sharbat is an essential drink for preventing dehydration and various functions in the body. Isubgul, Tokma, Litchi, Raw Mango Kadbel Tamarind Syrup can be eaten with alternative sugar. Or a young dab can be eaten. The amount of Iftar food will be equal to the amount of breakfast.

Some Diabetic diet during ramadan

Here are some common ways that diabetics can have Iftar:

A. Fried gram — 1/2 cup,

B. Fried Onion-2 piece ,

C. Beguni— 2 piece,

D. Muri- a half cups,

E. Dates 1 piece,

F. Cucumbers, carrots, etc., as desired,

G. The amount of water is sufficient.

Things to eat in the evening:

  1. Patients with diabetes must remember that evening meals should not be omitted at all.
  2. This food will be equaling to the dinner of other times.
  3. Rice can be eaten in the evening. However, everyone should pay attention to the amount of food according to their own allocation.
  4. In the evening it is better to have any small and big fish and vegetables cooked with light spices.
Learn about Diabetic Diet without Fasting : Food Habits of Diabetics for all time except Ramadan

Rules for eating Sahur (seheri) evening during Ramadan

  1. For diabetics, it is a good time to eat seheri before some sehri. This will reduce the risk of hypoglycemia at the end of the day. In Sehri, bread or rice can be taken as per choice.
  2.  Seheri should be eaten in the same amount as other days, ‘ lunch.
  3.  Eggs can be eaten instead of meat.
  4. One cup of milk can be eaten in Sehri.
Learn more:
Noman Islam Nirob
MBBS student, Rangpur Medical College,Rangpur.
Doctors Gang
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