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Why are we here today?
Islam is the second largest religion in the London Borough of Enfield.
Diabetes is most common amongst Asian patients.
This year Ramadan is expected to begin on 28th June 2014 at the sighting of the new moon
Ramadan will end on 28th July 2014
Diabetes and Ramadan Diabetes is a condition in which the amount of
glucose (sugar) in the blood is too high because the body cannot use what we eat properly.
During the Holy Month of Ramadan people change their eating habits. This may affect blood glucose levels in a way that can make some people feel very unwell.
We are here to give you information on how to stay well.
Fasting in 2014
This year you will be fasting for up to 19 hours July may also be very hot Peak temperature in London is 300 C ( 900 F) Average temperature in London is 220 C (700 F)
If you have diabetes
You need to make an appointment to see your General Practitioner or Practice Nurse
What needs to be considered: What treatment are you on? Has your health been generally good in the last year? Are your blood glucose levels generally well controlled? Do you have diabetes complications? How have you managed during Ramadan before and
how have you felt?
If you have diabetes who should not fast?
If you have recently been diagnosed If you have Type 1 or Type 2 diabetes that is not well
controlled If you have hypo unawareness If you are elderly or frail If you have a history of diabetic ketoacidosis If you have been having recurrent infections If you have kidney problems If you have had problems fasting before If you have unstable epilepsy
What are the risks of fasting for Ramadan if you have diabetes?
HypoglycaemiaLow blood glucose levels
HyperglycaemiaHigh blood glucose levels
DehydrationLack of fluid in the body
Symptoms of Hypoglycaemia orLow blood sugar
These vary from person to person
Confusion Dizziness Drowsiness Headache Hunger
Fast heart rate Sweating Weakness Feeling jittery Irritability
Causes of hypoglycaemia
If you take insulin, you may have taken too much Lumpy injection sites You may have reduced the amount of
carbohydrate in your diet You may have delayed or missed a meal Increased stress levels Increased your physical activity Hot weather can affect some people Some drugs can cause hypoglycaemia
Treatment for hypoglycaemia
Check blood glucose level if possible Eat or drink something sweet
Lucozade 50 – 100 mls Or Coke 50 – 100 mls (NOT DIET COKE) Or 3 – 6 glucose tablets Repeat if symptoms are not resolved after 5 – 10
minutes
When feeling less unwell, eat your next meal or have a snack like a sandwich or a banana
If you are getting episodes of hypoglycaemia you will need to visit your GP
Symptoms of hyperglycaemia or high blood sugar
Weight loss Increased thirst and dry mouth Tiredness Blurred vision Headache Loss of concentration Frequent urination
Causes of hyperglycaemia
You have stopped your medication You are taking the wrong dosage of your
medication You have reduced the amount of activity that you
do You have changed your diet
Treatment for hyperglycaemia
Take correct dosage of medication at the correct time
Take regular physical exercise Avoid changes to healthy eating plan See your GP if symptoms persist
General precautions for Ramadan
Plan your meals carefully Do not skip meals Avoid over eating at Iftar or Sehri Continue to take your medicines as prescribed by your
doctor If Type 1 diabetes check for ketones if blood glucose
level is high (>14 mmols) Drink plenty of sugar free drinks Know who to contact if in an emergency
Your Diet
If breaking fast with dates and milk, if diabetes is present dates should be limited to a maximum of 3
Limit or avoid sweets and fried foods at the start and break of your fast
Try to fit in 5 portions of fruit and vegetables a day Fill up on starchy foods like rice, chappati, couscous,
wholegrain bread Eat foods higher in fibre as these are more filling and
can prevent constipation Drink lots of fluids before fasting commences
Medication
There are leaflets available today that will give you further guidance about your medications for diabetes and how fasting may affect how they work
If you are concerned about your tablets, contact your GP or Practice Nurse.
Other possible health problems during Ramadan
Headache: Try to eat foods that have a slower absorption rate
e.g. grains and pulses.
Constipation: Drink plenty of fluids and eat foods that are high in
fiber.
Indigestion: Reduce fried foods and eat smaller portions at a time.
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