Health first: Diabetics should stop fasting if dehydrated or facing blood sugar problems, says doctor
Blood glucose levels should be monitored regularly, and individuals with diabetes should keep their health and well-being in mind when deciding to fast.
FOR individuals with diabetes, fasting requires careful balance. While many can observe it safely, health complications like dehydration, hyperglycemia or hypoglycemia can arise.
When that happens, breaking the fast immediately is not just a recommendation — it is a necessity to protect one's overall well-being.
Hospital Canselor Tuanku Muhriz UKM senior consultant endocrinologist Professor Dr Norlaila Mustafa stressed that individuals with diabetes should break their fast immediately if they experience dehydration, hyperglycemia or hypoglycemia.
She advised that fasting must be stopped if blood glucose levels drop below 3.9 mmol/L or rise above 16.6 mmol/L, even in the absence of symptoms.
If levels fall between 3.9 mmol/L and 5.0 mmol/L without symptoms, she recommended rechecking after an hour to assess whether fasting can safely continue.
"Consulting a physician before Ramadan ensures proper assessment and management.
"Continuous blood glucose monitoring helps maintain optimal control and reduces the risk of complications," she told Sinar Daily.
Dr Norlaila highlighted that Ramadan fosters self-discipline, self-control and a deeper sense of empathy for the less fortunate.
She mentioned that when observed with mindful eating and moderation, it can provide substantial health benefits, such as better glucose management and a lower risk of diabetes-related complications.
"Diabetes results from elevated blood glucose due to insulin resistance and relative insulin deficiency. Insulin resistance occurs when the body does not respond effectively to insulin, forcing the pancreas to work harder to regulate blood sugar.
"Factors such as excess body fat, physical inactivity, high-fat or processed diets, hormonal imbalances and certain medications contribute to this condition.
"Fasting, when paired with a balanced diet, calorie reduction, weight loss and regular physical activity, can help lower insulin resistance.
"Engaging in nightly Tarawih prayers also serves as a beneficial form of exercise," she added.
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