For individuals who have diabetes, fasting for lengthy hours can result in problems like hypoglycemia (low blood sugar), hyperglycemia (excessive blood sugar) and dehydration, mentions Worldwide Diabetes Federation (IDF) on its official web site.
Diabetics are subsequently suggested to seek the advice of a physician earlier than fasting throughout Ramadan. There’s one specific set of pointers for each diabetic, Dr Subhash Kumar Wangnoo, senior guide, endocrinology, Indraprastha Apollo Hospitals, New Delhi, tells indianexpress.com. Changes in treatment and different precautions are suggested primarily based on the diabetic’s medical situation.
Right here’s what the physician suggests:
* “We have to very cautious that one does not take those drugs which can cause hypoglycemia,” the physician says. Lengthy-acting oral medication needs to be prevented throughout Ramadan since individuals are fasting for lengthy hours throughout the day. Diabetics ought to keep away from taking sulphonylurea (treatment to manage blood sugar degree by stimulating manufacturing of insulin) since they’re long-acting. As an alternative, they need to go for short-acting medication like gliptins or metformin to keep away from low blood sugar throughout the daytime.
*Throughout Ramadan, diabetics must also keep away from having SGLT2 (sodium-glucose co-transporter-2) inhibitors, used for treating sort 2 diabetes by serving to kidneys to decrease blood sugar ranges.
*Diabetics can have gliclazide, one other short-acting drug that doesn’t trigger hypoglycemia.
One ought to monitor his or her blood sugar ranges frequently and never skip insulin injections, IDF states.
Dr Wangnoo says, “If the patient is on two doses of insulin, he or she should reduce the dose by one-third. If the patient is on multiple doses of insulin, he should avoid fasting during Ramadan.”
When to interrupt the quick?
The second one begins sweating or experiences palpitations, they need to instantly verify their blood sugar degree. If the blood sugar ranges go decrease than 70 mg/dl, one has to interrupt the quick.
“Avoid over-eating (especially sweets) during Eid-ul-Fitr, as it may lead to high blood glucose. Visit your doctor to obtain guidance on changing the medication back to the previous schedule,” IDF additionally mentions.
Other than this, pregnant girls, youngsters, aged sufferers with co-morbid situations like excessive stress, coronary heart illness or excessive ldl cholesterol, ought to keep away from fasting throughout Ramadan, the physician warns.