How to Fast During Ramadan When You Have Diabetes?

How to Fast During Ramadan When You Have Diabetes?
Illustration of breaking the fast. Credits: Freepik

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Fasting during Ramadan is a key religious duty for Muslims, but for individuals with diabetes, it can present unique challenges. Changes in diet and medication schedules may impact blood sugar levels during fasting. Therefore, careful planning is essential to ensure fasting remains safe and manageable.

 

Tips for Fasting During Ramadan When You Have Diabetes

Fasting with diabetes involves specific challenges and risks, such as changes in diet and medication routines. Additionally, the risks of hypoglycemia (low blood sugar), dehydration, hyperglycemia (high blood sugar), and diabetic ketoacidosis must be considered carefully.

To navigate these challenges and risks effectively, here are some helpful tips:

Choosing the Right Foods

The types of food consumed during sahur and iftar significantly impact blood sugar stability. At sahur, it’s advisable to focus on foods high in fiber and complex carbohydrates, which provide slow-releasing energy and help maintain steady blood sugar levels throughout the day.

When breaking the fast, avoid sugary, high-fat, and fried foods. Start with water and a few dates, followed by healthy proteins like fish, lean meats, skinless chicken, and vegetables.

Regulating Your Diet

Maintaining a stable blood sugar level is closely tied to your diet. At iftar, opt for lighter meals, while larger meals can be consumed after the Tarawih prayers in balanced portions.

For sahur, choose foods that provide sustained energy to keep blood sugar levels stable throughout the day.

Controlling Sugar and Carbohydrate Intake

During fasting, steer clear of foods containing added sugars, including sweetened beverages, cakes, and fried foods. Instead, choose complex carbohydrates that are digested more slowly, preventing sharp spikes in blood sugar levels.

Staying Hydrated

Drink plenty of water between iftar and sahur to prevent dehydration. Avoid caffeinated, sugary, and carbonated drinks, as they can lead to faster dehydration.

Monitor Your Blood Sugar Levels Regularly

Due to changes in eating patterns and medication schedules, it’s important to check your blood sugar levels consistently, especially before sahur, during the day, and after breaking the fast. If your blood sugar falls below 70 mg/dL or exceeds 300 mg/dL, break your fast immediately and consult a doctor.

Adjusting Physical Activity

Physical activity should still be part of your routine during fasting, but intensity should be modified. It’s better to avoid intense exercise while fasting and instead engage in light activities, like walking, before iftar or after sahur.

 

Before beginning fasting, individuals with diabetes should consult their doctor. The doctor will conduct a health evaluation and, if fasting is deemed safe, offer guidance on adjusting medication doses and dietary recommendations.

You can also consult a doctor through the Ai Care app, available for download from the App Store or Play Store.

 

Looking for more information about other diseases? Click here!

 

Writer : Agatha Writer
Editor :
  • dr Hanifa Rahma
Last Updated : Sunday, 20 April 2025 | 20:51

Cleveland Clinic Abu Dhabi (2023). Frequently Asked Questions For Diabetics About Fasting In Ramadan. Available from: https://www.clevelandclinicabudhabi.ae/en/health-hub/health-resource/diseases-and-conditions/diabetes-management-in-ramadan 

Diabetes UK. Diabetes and Ramadan. Available from: https://www.diabetes.org.uk/about-diabetes/looking-after-diabetes/ramadan 

Angela McPhillips (2024). Fasting and Diabetes: What Is the Relationship?. Available from: https://www.webmd.com/diabetes/fasting-diabetes 

Mayo Clinic (2023). Hypoglycemia. Available from: https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685