In the month of Ramadan, which has an important place in our lives, fasting is performed to fulfill a religious obligation, and with this, significant changes occur in the daily lives of individuals. The most important nutritional changes made during Ramadan include changing the daily diet and number of meals of fasting people, reducing the daily diet from three main meals to two, and increasing the consumption of pastries, desserts, red meat, bread, rice and pasta. However, while fasting, it should be essential to ensure adequate and balanced nutrition with healthy and diverse food options. It should not be forgotten that the daily energy, protein, carbohydrate, fat, vitamin and mineral ratios that individuals should consume according to their age, gender and physical activity do not change during Ramadan, and that adequate and balanced nutrition is necessary to maintain health during this period.
Medical It is dangerous for a diabetic patient to fast. Because the month of Ramadan coincides with summer and fasting lasts approximately 17 hours, diabetic patients may develop serious problems such as hypoglycemia (low blood sugar crisis), high blood pressure, cerebrovascular occlusion, stroke and fundus bleeding. The first thing a diabetic patient should do about fasting should be to get his doctor's opinion. Because if the doctor deems it appropriate for a diabetic who decides to fast, his treatment and nutrition program must be rearranged. It is extremely important for the patient to be aware of this issue and know what to do. If a person decides to fast, the doctor should investigate what type of diabetes he has, whether there is organ damage, whether he uses insulin, and if so, what protocol he follows.
Fasting in diabetes. Risk assessment in terms of;
It is possible to evaluate diabetic patients in three different categories in terms of fasting.
Group I: Those with insulin resistance or hidden diabetes or Type 2 Diabetics who have recently been diagnosed with diabetes but have not yet used blood sugar-lowering medication are in this group. Diabetics in this group have a lower risk than other groups.
Group II: Type 2 (occurs in adulthood people who have diabetes and any organ damage related to diabetes Diabetics who do not have yellow blood yet and whose diabetes is under control with sugar-lowering pills or basal insulin also fall into this group. Diabetics who fall into this group are in the high-risk group and fasting is not recommended.
Group III:Type 1 diabetics, patients who are in the advanced stages of Type 2 diabetes, use multiple doses of insulin, have difficulty controlling blood sugar, have variable diabetes with sudden drops and rises in blood sugar during the day, and patients with diabetes-related organ damage constitute this group.
These patients are at very high vital risk. It is not medically appropriate for them to fast because they have an advanced disease, and it is definitely not recommended!
Recommendations for Ramadan for patients with diabetes;
-
If you are diabetic, consult your doctor about whether to fast or not. .
-
Make sure to make a risk assessment about your diabetes.
-
If you are in a high-risk group (insulin-dependent diabetes, diabetes-related organ damage, etc. ) definitely do not fast.
-
If you decide to fast, measure your blood sugar regularly and frequently. Blood sugar measurement does not break the fast.
-
According to the 2016 recommendations of the International Diabetes Federation, if your blood sugar measurements fall below 70 mg/dl or exceed 300 mg/dl, the fast should be terminated.
-
p>
-
Pay attention to your nutrition program and take into account the recommendations of doctors and dietitians; Do not gain weight.
-
Make sure to take precautions against hypoglycemia (low sugar).
-
Do not skip medication treatment, be sure to consult your doctor for the medication schedule. consult.
Read: 0
