Managing diabetes during Ramadhan.

As millions of Muslims around the world observe the holy month of Ramadan, fasting from dawn to dusk remains a deeply spiritual commitment. But for people living with diabetes, the decision to fast carries serious health considerations. Medical experts say that while some individuals with diabetes can fast safely, it is critical to seek medical assessment before the start of Ramadan. Dr. Christian explains that fasting significantly changes how the body uses energy, especially in a person living with diabetes. Insulin is the hormone that helps move sugar from the blood into the cells for energy. When there isn’t enough insulin, or when the body cannot use it effectively, blood sugar levels can become dangerously high. During prolonged fasting, several risks may arise. One of them is hypoglycaemia, or low blood sugar. This can happen when a person takes insulin or other diabetes medication but does not eat for long hours. Symptoms may include dizziness, sweating, confusion, shaking, and in severe cases, loss of consciousness. On the other hand, hyperglycaemia, high blood sugar, can also occur, especially after breaking the fast with heavy, high-sugar meals. Persistently high blood sugar can lead to serious complications. Dr. Christian also warns about dehydration, particularly in hot climates where long hours without fluids can reduce blood volume and affect kidney function. Another serious concern is thrombosis, the formation of blood clots, which can be triggered by dehydration and increased blood thickness during prolonged fasting.