07-MAY-2019: Prof Sheelu Shafiq Siddiqi suggests ways to manage diabetes during Ramadan
Aligarh, May 7: Is diabetic person exempted from fasting in the holy month of Ramadan? Not necessarily. Professor Sheelu Shafiq Siddiqi, Director, Rajiv Gandhi Centre for Diabetes and Endocrinology, Jawaharlal Nehru Medical College (JNMC), Aligarh Muslim University (AMU) suggests that a diabetic patient can get advice from doctors to observe the Ramadan fasts.
"There is no doubt that managing diabetes during fasting can prove challenging for patients and their caregivers, but it can be done with a proper adjustment of glucose lowering drugs by adopting a systematic and planned approach considering the patient's educational status, empowerment and making sure of the availability of both oral and injectable designer molecules for lower risk of hypoglycaemia," said Prof Siddiqi.
Prof Siddiqi also suggested pre-Ramadan considerations of the metabolic control assessment, adjustment of the diet protocol, drugs regime for preventing hypoglycemia, physical activity and recognition of warning symptoms like dehydration, hypoglycaemia and other complications.
He cautioned: "Since living with diabetes requires constant monitoring, care and lifestyle changes and fasting can pose health risks such as hypoglycaemia, hyperglycemia, diabetic ketoacidosis, dehydration and thrombosis; dosage and timing of medicine may be altered while fasting, but the consumption of medicine is necessary and high risk patients should not fast.
"Successful completion of Ramadan provides spiritual merits and self confidence in people and refraining from it can cause psychological and social stress leading to poor glycemic control," said Prof Siddiqi.
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