MANAGE YOUR DIABETES DURING RAMADAN
A pre-Ramadan assessment with your doctor is vital if you are living with diabetes. Your doctor will support you to evaluate the risks, educate you on how to manage your diabetes during Ramadan, and work with you to produce a personal treatment plan to show you how to adjust your doses and fasting plan to complement Ramadan fasting hours.
If you are taking medication which lowers blood glucose
Consult your physician on whether or not it is advisable for you to fast, and what modifcations are required to either the insulin or tablet regimen.
Do not stop insulin injections if you have Type 1 (insulin-dependent) Diabetes
Patients with Type 1 Diabetes need insulin in their bodies at all times, both night and day. Please talk with your doctor regarding how to adjust your doses and regimen for Ramadan. It may be that for the month of Ramadan, the type of insulin you use could change to be more suited to fasting.
SPACE OUT YOUR MEALS
- Remember, it is a good idea to pace your mealtimes during the non-fasting hours.
- At Iftar, break your fast with a light snack such as dates and soup before Maghrib prayer. After prayer, have a main meal starting with a salad, followed by a balanced meal at Suhoor, just before Fajr and a snack in between if needed.
MONITOR YOUR BLOOD GLUCOSE DURING RAMADAN
- Before Suhoor: Your blood glucose targets should be 120-140mg/dl
- Morning: Your blood glucose targets should be 140-180mg/dl
- Midday: Your blood glucose targets should be 120-180mg/dl
- Pre-Iftar: Your blood glucose targets should not be below 70mg/dl
- 2 hours after Iftar: Your blood glucose targets should not be above 180mg/dl
- At any time when there are symptoms of hypoglycaemia or hyperglycaemia or when feeling unwell
BALANCE YOUR MEALS
- Choose low Glycaemic Index (low GI) food such as fresh vegetables and leafy greens, pumpkin, yams and butternut squash, sweet potato, as well as brown rice. Choose whole grains whenever possible
- Avoid high Glycemic Index (high GI) food such as potatoes and white bread, juices, soft drinks, concentrated drinks, and cordials.
- Control your portions and use the Ramadan Plate Method, which will be provided by your dietician, to make sure your meals are balanced.
- Keep hydrated by drinking water from the time you break your fast until Suhoor to prevent dehydrat
- Hydrate the smart way and eat fruits and vegetables high in water content such as strawberries, cucumber, celery, zucchini and tomato and vegetable soups
- 30 minutes of light exercise, such as brisk walking, after Iftar (Taraweeh) is recommended to keep the body active and your diabetes under controly
- Always monitor your glucose prior to any exercise and discuss any questions with your physician.
WARNING: YOU WILL HAVE TO BREAK YOUR FAST AND INFORM YOUR PHYSICIAN
- If your glucose is 70mg/dl or below and you show symptoms of hypoglycaemia
- If your glucose level is more than 300mg/dl, as you are at risk of dehydration & the development of clots.
- If you are nauseous and vomiting, or have any other severe illness