Fasting is compulsory for every healthy non pregnant adult Muslim. For children, women during menstruation, sick person, pregnant lady or those who are on journey; it is not compulsory rather they should avoid. Diabetes patients due to fasting may develop one of the following complications due to prolonged fasting: Hypoglycemia Hyperglycemia leading to DKA Dehydration leading to cardiac emergency Hyperglycemia & Dehydration leading to HHS (Hyperosmolar Hyperglycemic state).
Hence medically, both High and Moderate risk diabetes patients should not observe fasting. High risk diabetes patients are those TIDM patients with history of hypoglycemia during the period three month before Ramazaan, High HbA1c, and other complication of diabetes. Moderate risk diabetes patients are T2DM patients on insulin with uncontrolled blood sugar and having some diabetes complication like diabetic…
