Ramadan and diabetes: a sacred month under close medical supervision

The Ramadan fast, a pillar of Islam, involves abstaining from drinking and eating from dawn to dusk. While this ritual has major spiritual importance for the faithful, it is nonetheless a risky period for people with diabetes.
Risks of hypoglycemia and hyperglycemia
Indeed, fasting disrupts metabolic balances, exposing diabetics to potential dangers. Hypoglycemia, a drop in blood sugar levels, represents a major risk, especially if the treatment has not been adapted in advance by a doctor.
Hyperglycemia, on the other hand, can occur in the evening when the fast is broken. An overly copious, calorie-rich meal can lead to high blood sugar, accompanied by intense thirst and increased urination, promoting dehydration.
Adapt your diet and stay hydrated
To minimize the risks, diabetics must adopt a balanced diet spread over two to three meals when breaking the fast. Prioritizing fiber (fruits, vegetables, dates, bread, cereals and soups) is essential, while pastries and oilseeds (peanuts, pistachios...) should be consumed in moderation.
Hydration is also a crucial element. Drinking abundantly is vital for fasting diabetics, who should favor water, soups, herbal teas and infusions.
Precautions and medical follow-up
In order to prevent any weakening, it is advisable to avoid exposure to the sun and heat during fasting. Similarly, physical efforts should be reduced to a minimum, except for a short daily walk.
During this period, endocrinology specialists recommend regular and systematic blood glucose monitoring. High-risk individuals, such as the elderly, pregnant women and patients with hypertension or asthma, must absolutely notify their doctor as soon as any suspicious symptoms appear.
Warning:
• Fasting is contraindicated for diabetics on insulin therapy.
• Consulting a doctor is essential before undertaking the fast.
• Increased blood glucose monitoring is necessary during Ramadan.
• Adapting your diet and staying properly hydrated are vital measures.
• High-risk individuals must be particularly vigilant.
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