55 years
I'm a diabetic and my blood pressure is high and i want to fast in ramadan , i'll be fasting for 15 hours so what is sugar percentage should be at least in blood
Jun 23, 2014
BUT, if patients with diabetes, especially if “brittle” or poorly controlled, are at very high risk of developing severe complications and should be strongly advised to not fast during Ramadan. In addition, patients who are unwilling or unable to monitor their blood glucose levels multiple times daily are at high risk and should be advised to not fast.
Some of the major potential complications associated with fasting in patients with diabetes are:
1-Hypoglycemia
2-Diabetic ketoacidosis
3-Dehydration and thrombosis
I. GENERAL CONSIDERATION:
Several important issues deserve special attention.
>Individualization.
Perhaps the most crucial issue is the realization that care must be highly individualized and that the management plan will differ for each specific patient.
>Frequent monitoring of glycemia.
It is essential that patients have the means to monitor their blood glucose levels multiple times daily. This is especially critical in patients with type 1 diabetes and in patients with type 2 diabetes who require insulin.
>Nutrition
The diet during Ramadan should not differ significantly from a healthy and balanced diet. It should aim at maintaining a constant body mass.
Ingesting large amounts of foods rich in carbohydrate and fat, especially at the sunset meal, should be avoided. Because of the delay in digestion and absorption whereas,
Ingestion of foods containing “complex” carbohydrates may be advisable at the predawn meal
Foods with more simple carbohydrates may be more appropriate at the sunset meal. It is also recommended that fluid intake be increased during nonfasting hours and that the predawn meal be taken as late as possible before the start of the daily fast.
>Exercise
Normal levels of physical activity may be maintained. However, excessive physical activity may lead to higher risk of hypoglycemia and should be avoided
>Breaking the fast
All patients should understand that they must always and immediately end their fast if hypoglycemia (blood glucose of <60 mg/dl [3.3 mmol/l]) occurs, since there is no guarantee that their blood glucose will not drop further if they wait or delay treatment. The fast should also be broken if blood glucose reaches <70 mg/dl (3.9 mmol/l) in the first few hours after the start of the fast, especially if insulin, sulfonylurea drugs, or meglitinide are taken at predawn. Finally, the fast should be broken if blood glucose exceeds 300 mg/dl (16.7 mmol/l). Patients should avoid fasting on “sick days.”
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