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    Manage diabetes during Ramadan

    Manage diabetes during Ramadan
    1. Should diabetic patients avoid fasting?

      Blood Glucose Test

      The American Diabetes Association highlights that diabetic patients run a risk of medical complications during fasting.
      However, as fasting is a personal decision, diabetic patients should discuss their treatment plan with their physicians at least 1 to 2 months before ramadan begins.

    2. How to manage your diabetes during Ramadan?

      At least 1 - 2 months before ramadan
      • Pre-ramadan medical assessment
      • Speak to your physician for individualised advice so as to minimise the risk associated with fasting.
      During fasting, especially daytime
      • Monitor your blood sugar levels more frequently especially if you are on insulin therapy or multiple anti-diabetic medications. Test your blood sugar immediately if you experience hypoglycemic symptoms or are feeling unwell.
      During Iftar (sunset meal) or Suhur (pre-dawn meal)
      • Avoid eating too much carbohydrates and fat, especially during Iftar.
      • Drink more water during non-fasting hours
      When exercising
      • Avoid excessive rigorous exercise especially before Iftar (sunset meal).
      • Change your exercise timing to about two hours after Iftar.
    3. What symptoms to look out for?
      • Chest pain
      • Confusion
      • Dizziness
      • Fruity odour on breath
      • Heart palpitation
      • Muscle cramps
      • Nausea & vomiting 
      • Weakness

    4.  When you feel unwell or experience the symptoms above

    • Break you fast
    • Check your blood glucose immediately
    • Seek medical advice immediately if:
      • blood glucose <3.3mmol/L (60mg/dL)
      • blood glucose <3.9mmol/L (70mg/dL) in first few hourse after starting of fast
      • blood glucose >16.7mmol/L (300mg/dL)
    • Call 995 if you need an ambulance immediately
    • Avoid fastng on sick days.

    Updated July 2023

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