Many diabetic patients suffer from the occurrence of complications, including cardiovascular diseases, stroke and kidney disease. This category is classified as high-risk when fasting during Ramadan, especially when fasting in an unsafe manner, this is due to the following:
- Eating large amounts of carbohydrates.
- Low levels of physical activity.
- Not drinking enough fluids.
- Irregularity in taking doses of medicines.
Therefore, the following guidelines should be followed concerning safe fasting for these groups:
- Conducting a comprehensive assessment from the health care provider and specialized doctors (such as: cardiologist, neurologist, and nephrologist) to assess the health status before fasting.
- Obtain dietary guidelines and modifications, change medication plan, and follow up based on individual risk assessment.
- Drink a sufficient amount of fluids during the period between Iftar and Suhoor.
- Carefully monitor blood glucose level and make weekly reviews in coordination with a healthcare provider to assess health status during fasting.
- For kidney patients, foods high in potassium and phosphorus should be avoided.