How Does Fasting For Ramadan Affect My Diabetes?

During the holy month of Ramadan, fasting is one of the most important spiritual practices you will partake in. However, if you have diabetes, you may be wondering how this will affect your diabetes. There can be a lot of misinformation out there that can confuse you on what to do regarding this practice.
The practice of fasting is based on the Holy Quran as well as Islamic teachings from across the centuries. If you are someone for whom fasting would pose a health risk, the Quran states that fasting is not necessary. This would include children, pregnant or breastfeeding women, the elderly, and anyone who would make themselves ill by fasting, especially diabetics. Poorly controlled diabetics, Type 1 diabetics who take insulin, and Type 2 diabetics on a mixed insulin routine should be cautious if considering fasting.

If you know someone who is a diabetic and is fasting without any problems, remember that everyone is different. This person may be a better controlled diabetic than you are, or be on a different insulin regimen. You should make an appointment with your endocrinologist two to three months before Ramadan to talk with them about how fasting will affect your diabetes, as well as your nutritionist to discuss meals. They may recommend changing your medications to fit your change in eating schedule.
There are rumors out there that if you check your blood glucose during the day it will break your fast. This is false! It is important to monitor your glucose levels during the day in case you have to break the fast. If your levels drop below 70 mg/dl you will have to eat something.
Continue to take your medicine, but during times when you eat. Since you will be eating just twice a day you will have to plan appropriately with your doctor and ensure you are getting the correct doses.
When planning your meals, make sure they are well-balanced. Your dawn meal (Suhoor) should include lots of whole grains as well as protein and fat to slow digestion and last until you break your fast. You may want to consider meals that include whole grain cereals, plain Greek yogurt with blueberries and whole wheat toast, foul with fruit, and whole wheat roti with egg khagina.
When breaking your fast (Iftar) you should not overeat. Eat sensible portions that have an emphasis on whole grains, proteins, and healthy fats. Limit your consumption of dates to 1-2 per night and drink plenty of water. Try to avoid caffeine beverages as they can dehydrate you.
Reference: Health Canal
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Connecticut Foot Care Centers
Diabetic Foot Care in CT
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