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Ramadan Fasting and Diabetes; Preventive Measures

Ramadan Kareem is a very auspicious month, which encourages the utilization of numerous physical and spiritual benefits. This is the reason why fasting during Ramadan is obligatory for every Muslim with a few conditions. If the fasting person is wise and mature, healthy, Ramadan Kareem is a great blessing for healthy people, but its benefits are not less for people suffering from certain diseases.

However, people suffering from some diseases also need to take some precautions to benefit from the blessings of Ramadan, while those who cannot fast due to an illness, during travel, pregnant women, or women with children. I am breastfeeding, and it is permissible for all of them not to fast in these circumstances and to fulfill this duty again at an appropriate time so that their physical health and well-being are not deprived of the virtues of the month of fasting.

From a psychological point of view, fasting has very useful effects on human morals, character, speech, and good behavior. It establishes an atmosphere of mutual brotherhood, love, and brotherhood among humans. It creates self-control in humans, and the power of patience in humans is the cause of creation. Teaches obedience to the commands of Allah Ta'ala. It strengthens the concept of the Divine Being and the greatest benefit from a medical point of view is that the stomach and liver get complete rest for a month. Thanks to the irregular substances and fluids are discharged from the body.





Diabetes is a disease that is usually discussed more in the month of Ramadan, so some details are being recorded in this regard. For diabetic patients who use insulin, it would be better to consult their doctor. Fasting may make it difficult to control their disease. Conversely, patients not taking insulin can fast as directed by their physician.


Complications for fasting and diabetics

Regarding fasting, people suffering from diabetes usually complain about the sudden lack of sugar, that is, the complaint of hypo, which can have many reasons. For example, eating less food in Suhoor or simply taking medicine and not eating. Exercising between Asr and Maghrib, or doing any physical exertion during it, exercising after Suhoor, using insulin or medicine in excess, Suhoor medicine in Iftar and Iftar medicine in Suhoor. To be taken.

In all such cases, hypo (hypoglycemia) can occur and if the patient overcomes the above causes, he can be protected from hypo. Common symptoms of hypo sufferers include fast heart rate and fatigue. or weakness, tingling sensation on the lips, shivering, spots or patches before the eyes, irritability, extreme anger, slurred speech, excessive sweating, headache, and drowsiness, etc.

When these symptoms appear, sugar should be checked immediately and the doctor should be informed about his condition in time. If the doctor advises breaking the fast, then break the fast. Hypo usually occurs in patients who follow the diet recommended by their doctor. Do not consume or consume less food.

Fasting and diabetic diet

Diabetics in particular and everyone else in general are advised to avoid too much chicken and fried items for Iftar.

People suffering from diabetes should not consume chicken dishes, fried items (such as samosas, fritters, rolls, and sweets), sugar mixed syrups, sugar-based products, and fruit chats that contain added sugar in Iftar. 45 to 55 percent of the diet of people suffering from diabetes should consist of starch and in Ramadan, this starch should be distributed in such a way that 15 to 20 percent of starchy foods should be used in Suhoor.

This amount of starch can be obtained from a paratha (cooked in a spoonful of oil) and tea. Consume 25 to 30 percent starchy foods at Iftar, such as a bowl of fruit chaat, three-quarters of a cup of chickpeas, and one to two pakoras. Dinner should consist of 40 to 45 percent starchy foods, which can come from one chapati, a three-quarter cup of lentils, and a three-quarter cup of rice.

A 5-10% starchy diet is essential at bedtime, which can be obtained from a cup of milk and a piece of fruit. Remember, not consuming starchy foods while fasting increases the risk of hypoglycemia. In this holy month, if diabetic patients are fasting, they should breakfast according to the following menu (this menu contains about 1800 calories) so that they can be protected from complications.

However, it is necessary to consult a doctor in this regard.

Sehri

One paratha (cooked in one spoon of oil), two egg whites (cooked in one spoon of oil or in the form of curry), half a cup of curd, and one cup of tea.



Iftar

Take one date (Khajoor) and fruit chaat (without sugar), one cup of lemon juice, one to two fritters, three-quarter cups of a gram, and chickpeas (white or black).

 



Dinner

One chapati, half a cup of vegetable curry (cooked in one spoon of oil), three quarters of a cup of dal (cooked in one spoon of oil), three quarters of a cup of boiled rice, two pieces of meat (chicken or fish) and taken at bedtime. Milk should be drunk. Half a cup of Suvayyan (سویاں ) can be used instead of khajla or feniyan (کھجلا یا پھینیاں ) in Sahri.

Lack of insulin plays an important role in diabetes.

By fasting in the month of Ramadan, many disorders of people affected by diabetes are alleviated. For example, it is easy to keep the sugar level normal, obesity can be controlled, and blood pressure and cholesterol are under control. Affected people must check their sugar before Suhoor, two hours after Suhoor, at Zuhr, before Iftar and two hours after Iftar.


Dr. Javed Iqbal

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