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Fasting safely this Ramadan – expert advice for Muslims with diabetes

Ramadan, the ninth month in the Islamic calendar when Muslims devote themselves to their faith and fast from sunrise to sunset, starts on Sunday 5 May.

Lasting until Tuesday 4 June, the Ramadan fasting period is obligatory for almost all Muslims.  Although certain groups are exempt for health and other reasons, some people with diabetes are keen to observe the fast, although the long daylight hours in the UK at this time of the year makes it a challenging time, even for those without medical conditions.

Diabetes UK has highlighted that: “long fasts of 15 hours or more can put people at higher risk of hypoglycaemia and dehydration, which can make you ill”.

To help people to fast safely, the diabetes team at NHS Milton Keynes Clinical Commissioning Group is encouraging people to seek advice from their GP and Imam before starting their fast and has encouraged people to bear in mind this practical advice:

  • Appropriate portion sizes (for example 1-2 dates are the recommended amount to break the fast due to high sugar content)
  • Reduced carbohydrate content (this has the most impact on blood glucose levels)
  • Glycaemic index (low GI foods e.g. brown/basmati rice or porridge/shredded wheat help keep blood glucose stable)
  • Cooking methods (baking rather than frying)
  • Using healthier options where possible (balanced meals with vegetables and salad)
  • Hydration (sugar content should also be considered in drinks)

Those with diabetes who fast are at risk of experiencing high and low blood glucose levels. They also need to be aware that there are changes to the body during fasting, so they may need to change when and how they take any medication that they rely on. Speak to your community pharmacist for individual advice.

While fasting can be good for us, as many faiths will attest; it can however also have risks if you have ongoing health conditions.  You may be exempt from fasting but even if you’re exempt and want to fast, particularly if you have diabetes, you should get medical advice before you fast, and take care when you break the fast.

Useful links:

For further advice, the Diabetes UK website is a useful source of information www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/ramadan

  • Alternatively you can call the Diabetes UK Helpline on 0345 123 2399. If you wish to speak in a language that is not English, this can easily be arranged.