*Aligarh, June 17:* Professor Jamal Ahmad, Director of Rajiv Gandhi Centre
for Diabetes and Endocrinology, Jawaharlal Nehru Medical College, Aligarh
Muslim University has urged diabetes patients to take special health
precautions during the holy month of Ramadan.
Quoting the religious scripture, which exempts the sick from the obligation
of fasting, Prof Jamal said that a diabetic patient must immediately break
the fast if blood glucose is less than 70 mg/dl or it exceeds 300 mg/dl by
“In case blood glucose drop to 70mg/dl in early hours of the fast,
particularly if Sulfonyl Urea or Insulin have been taken at pre-dawn
(Sahar), the fast should be terminated,” said Prof Jamal.
Warning the Type 1 Diabetes patients taking four Insulin injections per day
to avoid fasting, Dr Jamal said that on fasting these patients are at a
risk of getting into diabetic coma.
“However, patients with Type 2 diabetes can fast without any health risks
provided they take Metformin ones soon after the sun-set meals during
He further advised the diabetic patients on Metformin and Sulfonylurea,
observing fasts to continue the Metformin in the usual dose and consuming
Sulfonylurea tablet before dinner.
“Those consuming Sulfonylurea and are on stable Glycemic Control, should
consume Sulfonylurea from the usual morning dose to before the sunset
meal,” said Prof Jamal who added that those on twice a day Sulfonylurea
should have their usual evening dose with the pre-dawn meal and the usual
morning dose with the sunset meal.
Prof Jamal also advised patients on Metformin and DPP4 and having Glycemic Control to continue their evening dose and reduce the morning dose to half.
“A diabetic patient should arrange a pre-Ramadan fasting consultation with
a doctor or diabetes educator to review control and feasibility of fasting
safely,” pointed Prof Jamal. He further urged diabetic patients to record
weight daily and inform their doctors if their weight changes more than two
During the Ramadan fasts, it is important to learn the warning symptoms of
hypoglycaemia and hyperglycemia, said Prof Jamal.
He also warned diabetic patients against over eating while breaking their
“At the end of month of Ramadan, it is important for diabetic patients to
visit their doctors and discuss the health conditions,” said Prof Jamal
*Assistant Public Relations Officer