Diabetes and Fasting in Ramadan

Abstract

During Ramadan, Muslims with diabetes are subjected to fasting. Worldwide, seventy-seven per cent of Muslims fast during Ramadan, about 1.8 billion (24% of the global population).They have to fast and control blood glucose as well. To maintain good health, they need to control their blood pressure and lipids and maintain their weight. Every patient with diabetes has to see their physician from one to three months before the start of Ramadan. Physicians need to stratify the risk involving people with diabetes wishing to fast. Some people with diabetes might belong to a risk or very high-risk group. Fasting during Ramadan is of the highest risk for Type 1 diabetes and diabetes with pregnancy. Physicians have to remain vigilant on comorbidities and complications of diabetes. Physicians may help people with diabetes plan their lifestyle, diet, exercise and modify medication if necessary. People with diabetes can test their blood during their daytime fast. They need to do exercises in moderation, avoiding exhaustion. Tablets with a single evening dose are preferred to control diabetes if possible. Analogue basal is the preferred insulin. The diet should be adjusted to keep the daily calorie requirement before Ramadan. It is possible to customize the type of meals honoring the religious attitude and appetite during Ramadan. Fasting is not only a religious ritual; it can potentially have multiple health benefits for people with diabetes, emphasizing the importance of maintaining good health during fasting and the audience’s responsibility and commitment.