Diabetes And Fasting
Until the twentieth century, it was widely believed that diabetics and heart patients could not fast, but epidemiology (epidemiology of diabetics and Ramadan) studies in 13 countries, including Pakistan, and local studies in Pakistan have shown that Heart and diabetes patients can reap the blessings and blessings of the month of Ramadan with the advice and guidance of their doctors.
Diabetes and the four challenges of fasting:
Diabetes patients may face four main problems during fasting, one of which is low blood sugar, which is called “hypoglycemia“, according to studies by various hospitals across the country. Interestingly, in spite of fasting in Ramadan, the incidence of diabetes is not high in the diabetic patients as compared to normal days, but their number is under normal circumstances.
- There are those who do not eat well at night and do not fast. Or if they wake up late in the morning, they just take medicine and skip meals, whereas it is very important to do suhoor because abnormal exertion in fasting lowers the blood sugar level.
- The second condition is an increase in the amount of sugar in the blood which is called “hyperglycemia” which can result in the patient going into a coma while a type one coma occurs very quickly. In this situation, the sugar rises for 10 days a week and the weakness increases while it increases to such a level that the patient has to see a doctor.
- The third complication of diabetes is related to the weather and at present it is summer in Pakistan due to which heat and sweat cause severe dehydration in the body. In summer, the common people face the problem of dehydration but This problem develops very quickly in diabetic patients, so such people should replenish the amount of water in their body from Iftar to the end of Sehri. Avoid excessive toil and sweating in hot weather.
- The fourth problem of diabetes is the formation of blood clots in the body. Summer and dehydration can cause blood clots in diabetics. These clots can clot in the arteries of the heart and cause many other diseases including heart attack. Therefore, it is important for diabetics to replenish their water intake and continue the blood-thinning medications they are taking, while talking to their doctor before the start of Ramadan. Schedule medication.
Diabetics usually take the same amount of medicine in the morning and half the dose in the morning. For example, if a patient takes one pill in the morning after breakfast and one pill in the evening, he usually takes one pill in Ramadan when he is fasting, while in the morning he takes half a pill. The best advice is to consult your doctor about the medication schedule. Advise on and avoid prescribing food on your own.
The mental state of the diabetic patient:
The diabetic should be mentally prepared that he may have to break the fast at any time because if the diabetic’s blood sugar drops to 60 or below or to 300 or above, he should break the fast immediately.
Diabetes and Suhoor:
Diabetics should eat foods that are slow to digest in the morning. Under normal circumstances, diabetics cannot eat pratha but they can eat pratha fried in low oil in the morning. Slow-digesting food also includes mild, which is considered better at home mild because it contains a lot of fiber which makes us feel hungry late and makes us feel full for a long time.
Diabetics are barred from using eggs for fear of high cholesterol, but a new study shows that egg yolks are not harmful and contain brain-beneficial ingredients that can raise blood cholesterol. Eggs used to have 250 mg of cholesterol, but now, according to new research, it contains only 160 mg of cholesterol. As a precaution, diabetics can eat half a yolk, which is equal to 80 milligrams of cholesterol.
Diabetes and thirst:
Patients who feel more thirsty should use cardamom coffee in the morning in such a way that boil cardamom in plain tea and add a little milk to it. It reduces thirst and if the patient does not have blood pressure problem, then salty lassi Drinking also reduces thirst in fasting.
Ghee and unhealthy oils are used in itching , so avoid using it and soy can be eaten as an alternative.
Diabetics are not allowed to eat dates during Iftar, which is wrong. Research has shown that a date contains 6 grams of carbohydrates, which include minerals, fiber, phosphorus and potassium. Fatigue and heaviness in the last days before Iftar also causes a decrease in potassium which can be removed immediately by eating dates.
Diabetics can eat one date and if their sugar is under control, they can also eat two dates. Eat fruit without licking sugar and country. Add a little lemon in the chopped fruit will be very beneficial. Add a glass of lemon water to the drink and be careful with salt and sugar. Diabetics can use a homemade samosa and a few fritters, while keeping in mind that the combination of salt, sugar and oil (ghee) is very harmful for diabetics.
Fasting and dinner:
Diabetics can eat a plate of boiled rice at night with a light chapatti curry or with a salad and raita, and a cup of milk if they feel hungry at bedtime.
Do not self-medicate:
Even if a friend of yours has diabetes, don’t take his advice seriously because every patient’s condition is different, so follow your doctor’s advice strictly and stay away from self-medication and treatment.
Serious heart disease and diabetes and fasting:
Patients with persistent high blood sugar and patients with recurrent low blood sugar should avoid fasting, as well as those who take too much insulin. Heart patients, kidney patients and pregnant women who visit the hospital frequently should not fast.
Types of diabetes:
Diabetics can be divided into two types called type one and type two diabetes.
Type 1 diabetes:
In type 1 diabetes, the pancreas produces very little insulin that is non-existent or the pancreas stops making insulin completely because the body’s immune system begins to destroy the pancreatic cells itself. ۔
Type 2 diabetes:
There are patients with type 2 diabetes whose pancreas is producing insulin but it is somewhat useful and somewhat useless. With type 2 diabetes, the pancreas begins to produce ineffective insulin and the amount of useful insulin is low.
This condition is also called insulin resistance, which is a very dangerous process in which the patient has the same risk of heart disease as a The patient has regular diabetes and in some cases even has a heart attack. In this disease the patient starts gaining weight as he starts eating more and in the next stage the body starts depleting insulin rapidly.
It is important to point out here that due to energy drinks in Pakistan, the rate of type 2 diabetes is increasing dangerously among the youth, so it is important to stay away from all kinds of energy drinks. Instead, in our society, Lucy, Skunjwin, Suto and Thadal etc. are natural energy drinks whose use provides energy and is also beneficial.
According to one statistic, 20 to 25 young people who drink 2 to 3 energy drinks a day suffer from type 2 diabetes daily.
Thanks, Dr. Shakeel Ahmed