Pune: The holy month of Ramzan is here. Many patients with mild to moderate diabetes, hypertension and other medical conditions want to fast. Many Muslims with diabetes keep fast for at least 15 days despite their medical condition. As fasting has the significant effect on the body because of change in the diet and timings followed, doctors suggest how the fast should be followed while taking good care of one self.
Speaking to Sakal Times, Dr Milind Patil, Diabetologist at Jupiter Hospital in Baner said that patients with diabetes who are on insulin should avoid fasting. “A patient with controlled type 2 diabetes can fast. Those with type 2 diabetes on insulin and have good glycemic control can keep fast. Those with poorly controlled type 1 diabetes, having kidney, heart problems, had serious hypoglycemia in the past must not fast. In addition, pregnant women with diabetes who are on insulin must not fast. These patients are at high risk for the complications of diabetes,” said Patil.
He added that there is increased risk of developing low sugar, high sugar, dehydration and other complications. Hence, it is advisable that the patient with diabetes should know a few facts about fasting. He said that checking sugar frequently is very important for the patients. “A patient should check sugar when he feels sweating, blurring vision and shaking of hands. Testing blood glucose levels is important and it does not break the fast,” emphasised Patil.
Dr Kedar Deodhar from Accord Sant Dnyaneshwar Hospital said that patients with cardiovascular problems and other issues should not fast. “However, if they do, checking blood sugar is important and necessary. Also, after the breaking the fast, the evening meal should be taken in two parts and heavy meals should be avoided. Special care should be taken to reduce the intake of carbohydrates,” he said.
“As it is the festive season, food is spicy but patients should avoid it. Intake of fruits should be increased,” said Deodhar.
Moreover, he added that the medicines should be taken in time. “Patients may need to increase the evening dose as after having food sugar may increase,” said Deodhar. Dr Lalitkumar Upadhyay from United World Diabetes Center said that those who have repeated episodes of low and high sugar in last three months should avoid fasting.
Who can fast?
Patients with controlled type 2 diabetes, on insulin and having good glycemic control.
Patients with poorly controlled type 1 diabetes, having kidney, heart problems, had serious hypoglycemia in the past and pregnant women with diabetes who are on insulin.
How patients with diabetes, hypertension should fast in Ramzan
- Frequently check blood sugar levels
- Evening meal should be taken in two parts and heavy meals should be avoided
- Avoid spicy food
- Increase intake of fruits
- For evening meal after fast, porridge, chapati, lentils, beans, basmati rice or a handful of nuts are suggested.
- Foods high in saturated fats should be avoided i.e ghee, samosas etc.
- Avoid sweets.
- Keep good water intake