Diabetics during Ramadan

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Ahead of the holy month, in this report we attempt to answer questions including: When should a diabetic  fast? Is there a difference in fasting for  type 1 and type 2 diabetics and how many dates can a diabetic eat in Ramadan? 

 Fasting for a type 1 diabetic 

A patient with type 1 diabetes relies on  insulin injections and must eat  immediately after taking the dose. If the patient does not take it, blood sugar levels drop, which can lead to a hypoglycemic coma, the symptoms of which include profuse sweating, dizziness and palpitations. Fasting is not recommended for people with type 1 diabetes. First. If he insists on fasting, then the following must be achieved 

Blood sugar levels should be regular

 He should not have low blood sugar levels for at least two months before Ramadan.  

Situations in which fasting is prohibited for a patient with type 1 diabetes 

There are cases when fasting is not allowed at all due to a serious threat to the patient's life, namely 

Blood sugar levels fluctuate and are irregular. Patients receiving an insulin pump.  

A diabetic who suffers from complications such as heart and kidney disease.  

Fasting for a type 2 diabetic 

What do you do if you are diabetic and want to fast؟؟ 

You must consult the health care team treating you for diabetes well before Ramadan begins, because fasting may be dangerous for you. The treating medical team will explain to you whether you can fast safely, and will provide you with the necessary advice and guidance on how to manage your condition throughout the month of Ramadan. 

Possible complications 

Fasting poses many risks for  both types of diabetics who have poor blood sugar control. The biggest potential diabetes complications that fasting can cause include: 

  • Low blood sugar below normal  (less than 70 mg/dL or 3.9 mmol/L) 

High blood sugar levels above normal  (more than 200 mg/dL or 11.1 mmol/L), which can lead to diabetic ketoacidosis (diabetic coma) in patients with type 1 diabetes. 

When the body's cells do not receive enough glucose, they begin to burn fat for energy. When the body burns fat instead of glucose, it produces waste products called quinones. These quinones may increase the acidity of the blood, which poses a great danger to the patient, as the decline Excess insulin, based on the hypothesis of a decrease in the amount of food entering the body during Ramadan, may double the risk of diabetic ketoacidosis. 

 Patients with type 1 diabetes who plan to fast during the month of Ramadan are most at risk of developing diabetic ketoacidosis, especially if they repeatedly suffer from high blood sugar (hyperglycemia) before the month of Ramadan.  

Fasting during the month of Ramadan may cause dehydration for a diabetic patient, due to the body’s lack of fluids, in addition to high levels of temperature and humidity in some areas. Dehydration may cause an increase in blood viscosity, which may increase the possibility of blood clots. Therefore, diabetics who fast for a month must During Ramadan, people should drink plenty of water during the night hours, to protect themselves from dehydration and the resulting complications.  If your doctor has told you that you can fast during Ramadan, here are some things you should pay attention to: 

Monitor your blood sugar levels 

It is recommended that fasting blood glucose levels be measured periodically throughout the day,  especially in patients receiving insulin.  

It is recommended to check your blood sugar levels at least four times a day. 

If a  patient with diabetes shows signs of  blood sugar that is too low (hypoglycemia) or  blood sugar that is too high (hyperglycemia), fasting and fasting should be stopped. 


When is it not recommended for a diabetic  to fast?? 

Diabetes is unstable. Patients with type 1 diabetes mellitus. 

The presence of chronic complications such as kidney failure.  

If you are undergoing dialysis. 

 If you suffer from frequent hyperglycemia.  



If you have suffered from ketoacidosis (diabetic coma) in the three months before Ramadan. Calorie content of common Ramadan foods 

One piece of fried samosa contains 250 calories and one piece of roasted samosa contains 125 calories. 


A piece of qatayef filled with cheese or nuts contains between 200 and 400 calories. Therefore, it is advisable to avoid  these foods. 

Avoid eating more than three dates per day, as each date provides  about 20 calories and contains the equivalent of a teaspoon of sugar. 

 General advice for diabetics during Ramadan 

Do not add butter or ghee to haris, jareesh and other foods. Be sure to drink (8-10) glasses of water  between Iftar and Suhoor.  

It is recommended to start your breakfast with dates as they help bring your blood sugar levels to  normal levels.

for more 

reducing-sugar-naturally.

/reduce-cumulative-blood-sugar-in-week.. l


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