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I have Diabetes and I asked a doctor about Fasting during Ramadan

If you have diabetes, what precautions should you take when fasting for Ramadan? ----------------------------------------------------------------------------------------------------------------------------------- The month of Ramadan is an important time for all Muslims. Fasting during Ramadan is one of the five pillars of Islam which must be carried out by every healthy adult Muslim. Approximately 40 to 70% of people with diabetes worldwide fast during Ramadan. The decision to fast is a personal one. Still, it is an important decision to make. If you have diabetes, you should talk about the risks of fasting with your doctor before you decide to fast during Ramadan. If you are planning to fast, you need to be concerned about the risks and how to reduce the risks. ENGLISH TRANSLATION --------------------------------------- Do​ctor: How are you today? Nur: I'm all right, doctor. Well, actually I have a question, doctor. I intend to fast during the month of Ramadan is coming. What do you think, doctor? Doctor: Nur, in fact, people with diabetes like yourself need not fast during Ramadan. The Koran has stated that Muslims who have health problems, need not fast, if fasting might cause harmful effects to their health. These include those who have: Blood sugar level is very low Low blood sugar levels several times Uncontrolled Diabetes Damage to the kidneys or dialysis Acute illness such as fever or any infection Pregnant women who have diabetes are also excused from fasting. Nur: Hmm, I know, doctor. But if I want to fast, what are the risks? Doctor: If you still want to fast, you have to be careful. The risks of fasting for diabetes patients are as follows: Blood sugar level is too low to be dangerous (hypoglycaemia) Blood sugar level is too high (hyperglycaemia) Too much acid due to diabetes (diabetic ketoacidosis) Heart attack or stroke Nur: Oh, I see. Doctor, what can I do to reduce the risks? Doctor: Make sure you have your suhoor as late as possible. Avoid excessive eating when you break your fast (iftar). Avoid excessive foods high in carbohydrates after breaking your fast. Make sure you drink enough water. When fasting, avoid excessive physical activity. If you take oral medication or insulin for diabetes, you should closely monitor your blood sugar levels with a glucose meter during the month of Ramadan. Changing your oral medication or insulin treatment is necessary to maintain good blood sugar control and prevent low blood sugar levels during fasting. You should consult with your doctor about changing your medication dosage. Please do not adjust your medication or insulin itself. If you experience these symptoms of low blood sugar, please ch​eck blood sugar levels using a glucose meter. Feeling nervous Sweating Headache and Feel your heart pounding If your blood sugar level of less than 4mmol / L: You must break the fast immediately and Regain your blood sugar level with sweetened beverages. You have to break the fast if you feel unwell while fasting. Nur: All right, doctor. Thank you. I accept the doctor's advice and try to practice it. Doctor: You're welcome. Happy Ramadan. Hopefully the upcoming month of Ramadan brings blessings to us all and Selamat Hari Raya Aidilfitri!​ ===================================================================== Useful online resources - https://www.healthxchange.sg/video/di... - https://www.healthxchange.sg/food-nut... - https://www.healthxchange.sg/diabetes