31 May 2018 | 5 min Read
Dr. Megha Gupta
Author | 2 Articles
Ramadan, the ninth month of Islamic lunar calendar, is marked by religious ritual of fasting from early dawn till sunset by Muslims. Islam has allowed many categories of people to be exempt totally or temporarily from fasting.
Fasting during Ramadan potentially affects dietary habits, daily physical activity, sleeping patterns, glycemic control, weight, lipid profile and food intake.
What Happens To My Body When I Fast?
When we don’t eat during a fast at about eight hours, after our last meal, our bodies start to use energy stores to keep our blood glucose (sugar) levels normal. For most people, this is not harmful. With diabetes, especially if you take certain tablets or insulin, you are at risk of hypoglycemia (low blood glucose levels). Another problem that can occur if you have diabetes, is the risk of high glucose levels following the larger meals that we eat before and after fasting (at Suhoor/Sehri and Iftar). Hypo and hyper glycemia both are dangerous for people with diabetes.
I Have Diabetes – Can I Fast?
A person with diabetes has every right to perform his ritual fasting. But when he or she intends to performs fasting in Ramadan, they should plan at least few months before, so that certain factors can be assessed by the Endocrinologist:
What Types Of Food Should I Eat At Suhoor (Sehri)?
Suhoor needs to be wholesome to provide enough energy to last during the long hours of fasting. At Suhoor you should eat carbohydrates which release energy slowly with protein and fiber such as:
Eat sensibly, do not overeat & remember to drink plenty of liquids.
What Types Of Food Should I Eat At Iftar?
Iftar is the time you replenish energy levels, so try to add foods from all the major food groups.
Traditionally during Ramadan, dates are eaten at the start of Iftar to symbolize the breaking of the fast. Besides being an excellent source of dietary fiber and potassium, the dates are also high in sugar so watch your portion on it. Whole wheat bread takes longer to digest, helping to sustain energy levels longer. Incorporate protein rich sources such as lean meat, skinless chicken, fish, eggs, legumes and low-fat dairy products. Ensure 2 serving of vegetables and 1 serving of fruit. To keep your meals healthy, limit the use of oil and opt for steam cooking, grilling, baking or shallow frying instead of deep frying. When choosing oils, you should pick those that are high in unsaturated fats such as Canola, soybean, rice bran, mustard oil. Keep portion size in control. Remember that Ramadan is also about self control and discipline.
What Types Of Drinks Can I Have?
Fasting can put you at risk of dehydration, with long hours of fasting and also if you have high blood glucose levels. Drink plenty of fluids like coconut water/lemon water/herbal tea/milk smoothies/buttermilk, vegetables or chicken broth at Suhoor and after Iftar.
What Kind Of Exercise I Can Do?
Normal level of physical activity should be maintained. Rigorous exercise during fasting hours should be avoided.
Sugar Monitoring, Medicines & Insulin Dose Adjustments
Blood glucose levels should be monitored during fasting to recognize hypo and hyper glycemia. If sugars are less than
You can monitor sugar levels 2 hours post Suhoor and half hour before Iftar.
Change of insulin regime should be customized and individualized according to food habit, food composition adopted specially during the fasting state and also the previous insulin regime, the patient was using prior to the Ramadan month.
It is recommended to avoid pre mixed insulin during fasting. If you still want to continue the same, then reduce the morning dose by 30% & evening dose remains the same.
Adjustment in Medication:
Tips:
Also read: 6 Easy Ways To Boost Fiber Intake In Your Daily Diet
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