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Fasting and diabetes

Those suffering from type 2 diabetes may be worried about observing the fast during the

Muslim month of Ramadan. However, it is possible to fast safely if you are careful about

managing your diabetes.

A recently study concludes that most people with well-controlled type 2 diabetes can safely

observe the fast. The study was published in the uly 2!!" issue of Clinical and

Experimental Hypertension.

#evertheless, it is important for those with diabetes to ta$e care, since some drugs that are

used to treat type 2 diabetes, such as sulphonylureas and insulin, can ma$e your blood

glucose level drop too low when you are not eating. #ot drin$ing enough water can also

ma$e you dehydrated.

%ften the evening meal, iftar, contains lots of carbs and perhaps sugary drin$s. &ecause this

is a time when families eat together to brea$ the fast, the food may be richer than what you

might normally eat. And having fasted all day, you may feel you have an e'cuse to reward

yourself, but you need to be particularly strong willed at this time(

Fasting checklist:

Seek the advice of your healthcare team before starting and at the end ofthe fast, since they may advise you to change the frequency or amount ofmedication you take.

Do not stop taking your medication, however the dosing and timing ofyour medication may need to change this should be discussed with yourdiabetes healthcare team prior to fasting.

If you experience symptoms of low blood sugar levels such as sweating,anxiety, shaking, weakness or confusion then you should break your fastwith a sugary drink followed by foods rich in carbohydrates.

void eating lots of unhealthy foods as a reward! Instead, try and maintaina healthy eating pattern after you break the fast.

"ake sure that you have lots of fruit and vegetables and dhal as these are

slowly digested and help your blood glucose to rise more slowly too. lsoremember to drink plenty of fluids.

Divide your daily food intake into two equal portions, one to be taken atsehriand one at iftar.

#e sure to check your glucose level regularly $ at least once a day atdifferent times of the day.

)ollowing Ramadan, visit your doctor to ma$e sure that your blood glucose is being

controlled ade*uately, and also to chec$ whether your medication needs to be ad+usted.

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Ramadan and Diabetes

%amadan is a month long period of fasting

There is often discussion about whether people with diabetes should fast during Ramadan or

not. Ramadan is a month long period of fastingduring the daylight hours.

)asting during Ramadan is underta$en to promote chastity and humility and as an act ofsubmission to Allah.

Ramadan ta$es place on the th lunar month of the slamic calendar. As a result, the date

varies amongst the western /regorian0 calendar.

Is fasting with diabetes dangerous to health?

)asting during Ramadan could compromise one1s health. Those onblood glucose lowering

medicationshould consult their / about whether it will be safe for them to fast and what

precautions can be ta$en to prevent blood glucose levels from going either too low or toohigh.

3ontinuing to ta$e blood glucose lowering medication during the daylight hours of fasting

may present a particular ris$ of low blood glucose4 hypoglycemia.

5uring the hours of night, when the day1s fast can be bro$en, the body may need to ta$e in

more food than would normally be eaten, as a result, this may lead to higherblood glucose

levelsduring the night time hours.

Should people with diabetes fast during Ramadan?

eople are recommended not to fast if the act of fasting could negatively affect their health.

The charity, 5iabetes 67 , advises people with e'isting diabetic complications not too fast.

eople with type 8 diabetesshould not stop ta$ing their insulin as this could lead to a

dangerous condition called diabetic $etoacidosis. However, fasting whilst continuing to ta$e

insulin could lead to hypos so people with type 8 should see$ the advice of their consultant or

diabetologist before ta$ing part in fasting.

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%ther people which may be e'empt from fasting include pregnant women, the elderly and

those suffering an illness. Those who cannot fast during Ramadan may be e'pected to donate

meals to the poor and needy.

9ou may wish to spea$ with your mam about how best to respect the fasting period. &e sure

to chec$ with you doctor if you ta$e part in the fast.

Controlling your blood sugar levels through Ramadan

It is advisable to test your blood sugar levels more often than normalthrough %amadan.

#e aware of the symptoms of high and low blood sugar .

&ave your testing kit ready if you notice you may be either too high or lowon sugar.

If you are taking blood glucose lowering medication, make sure you have a

form of quickly absorbed sugar with you.

See below for which foods are good options for eating at Iftar 'the break offasting(.

FASTING IT! "IA#$T$S% !AT $&$R' "IA#$TIC

S!()*" +N(

)asting with diabetes is a condition which every diabetic should $now. :i$e most diabetics,

you try to deal with your disease proactively. 9ou have regular chec$-ups, ta$e your

medications as prescribed, e'ercise on a regular basis, and try to stic$ to a stringent diabetic

diet. ;o what do you do if you want or need to eat fast< ;ince both healthy and diabetic

people may have reasons to fast from time to time, it1s important for diabetics to understand

what effects fasting can have on their overall health and well-being before attempting to do

so. &ut first, let1s ta$e a loo$ at what fasting involves and the main reasons people do it for.

)asting normally involves going without food, drin$, and sometimes medications for

e'tended periods of time ranging from 82-2= hours. 6nder that definition, fasting can be*uite challenging, especially for those with diabetes.

As to why people fast, there are a number of reasons. Many people fast for religious reasons,

including special Holidays. atients are also often re*uired to fast before certain blood tests,

prior to ma+or surgeries, and before other procedures such as colonoscopies.

%nce it is established that you will be fasting, and you are a diabetic patient, you should

consult with your physician to determine if it is safe for you to fast and how to correctly go

about it because fasting with diabetes can be dangerous if you are not well aware of certain

facts.

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f you are fasting for religious reasons, you will most li$ely find that it is perfectly fine not to

do so, especially if safety issues are involved>the $inds of issues your doctor has already

made you aware of. regnant women with gestational diabetes should not fast because it is

unsafe to do so. %ther reasons not to fast for religious purposes are if you have recently

suffered a heart attac$, you have a cold, the flu or some other infection or if you have a

difficult time controlling your blood sugar under normal non-fasting conditions. ;hould yourdoctor give you the go ahead to fast for religious reasons, ma$e sure he or she understands

the nature and duration of your fast and that you understand what medications should or

should not be ta$en during your fasting period. 9our doctor will also tell you to chec$ your

blood sugar often, and instruct you as to what to do if your blood sugar gets too high or too

low. ;hould your blood sugar begin dropping too low at any time during your fast, you

should stop fasting immediately.

;ome good advice for those who are fasting for a blood test, surgery, colonoscopy or other

medical procedure, is to try to schedule your test or procedure the first thing in the morning.

&y getting in early you will not need to fast any longer than you absolutely have to.

%nce you have been cleared for fasting, the ne't big *uestion that should be on your mind is?

@ HOW WILL FASTING AFFECT MY DIABETES MEDICINE?

As a diabetic, you have done your homewor$, and you $now the role that insulin plays in

regulating blood sugar. 9ou should also $now that if you refrain from eating or drin$ing for

prolonged periods, insulin will cause your blood sugar to get too low. The same rule applies

for many diabetic medications that are ta$en at mealtimes. Ma$e sure your prescriber goes

over each of your meds and clearly notates which ones you should or should not ta$e, either

right before or during the duration of your fast. &eing that fasting tends to change the rules on

blood sugar control, your doctor may also alter the dose of your diabetic drugs the dose will

usually be lower0 as well as the time of day you should ta$e them.

;ince your prescriber will probably not be with you to loo$ for trouble signs while you are

fasting, the ne't *uestion you should as$ is?

@ WHAT THINGS SHOLD I WATCH OT FO! WHEN I FAST?

Answer to that *uestion, here are some of the things you need to watch for when fasting. )irst

and foremost, that blood sugar you $eep such a close eye on each and every day may get too

low during a fast. Ma$e sure you chec$ your blood sugar often. As you may already $nowfrom e'perience, low blood sugar can ma$e you feel nauseated, sha$y, confused, cold and

sweaty. 9ou may also e'perience a rapid heartbeat that can be fairly scary. That1s why before

you fast you need to as$ your prescriber two critical *uestions, the first being, what blood

sugar number is too low for you< The second and most critical *uestion is, what do you do if

your blood sugar gets too low< As to the 8st *uestion, that number can depend on a number

of factors, but in general terms, blood glucose numbers between B! and !mgCdl are

considered red flags for low blood sugar hypoglycemia0. Dhenever you fast, always $eep a

good sugar source with you at all times, such as fruit +uice, glucose tablets, hard candies, or

crac$ers, +ust in case your blood sugar drops too low.

As strange as it may seem, abnormally high blood sugar during fasting can pose a realproblem for other types of diabetics. )or people with type 8 diabetes, this scenario can be

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e'tremely dangerous. f you have type 8 diabetes, rely on your prescriber to tell you what

insulinad+ustments to ma$e while fasting. Although you still need to ta$e some insulin, the

dose will usually be lower.

)inally, it cannot be emphasiEed enough how important it is that you consult your physician

if you have diabetes and plan to fast for any length of time. )or those with or withoutdiabetes, mounting evidence shows that fasting can be a cleansing and healthy e'perience for

your body. The $ey for diabetics is to fast as safely as possible.

"LEASE SHA!E YO! THOGHTS AND #IEWS:

f you are a diabetic and you also fast from time to time, what precautions you ta$e so as to

avoid messing up with your health< lease do share your views and thoughts with the readers

which may help many people in similar conditions.

f you li$e this post and want to have top health tips, fitness tips and fitness regime tips, you

can subscribe to )RFF Health n Fitness Ca$efeed viaEMAILto get instant updates onhealth and fitness information.

Fasting Safely With Diabetes

Fasting when you have diabetes ,an be ris-y. or-ing

with your health ,are provider is a must.

)asting can be a challenge for anyone, but it can be especially difficult for someone with

diabetes.As any diabetic $nows, successful blood sugar management relies on healthy meals

eaten at regularly spaced intervals. ;o what happens when one or more meals need to be

s$ipped for religious reasons or because of a medical or dental procedure