Health Sciences University Faculty Member, Endocrinology and Metabolic Diseases Specialist Prof. Dr. Mustafa Altay stated that fasting is not recommended for diabetics in the high-risk group, and patients in the low-risk group should consult their physicians to fast.
Prof. Dr. Altai, AA correspondent, Turkey, in terms of diabetes prevalence stated that in the first place among European countries, found that of the 10 million diabetics in the country said that the estimated adult population.
Both in Turkey and in the research conducted worldwide diabetes patients that it is known that fasting month of Ramadhan, the majority of pointing Altai, if the patients wanted to keep fasting without consulting fasted that their physicians an important part and that this process is also known that try to manage alone.
Altay said, “We, as physicians, evaluate each individual separately in terms of fasting in diabetes as well as in all chronic diseases. A generalization such as ‘those who have sugar fasts’ or ‘those who have diabetes cannot fast’ are not correct.” He noted the following:
“The decision of whether or not to fast in Ramadan belongs to the patient, of course. However, the patient should know how fasting may affect his health and decide accordingly. There are three main factors that determine this. These are factors related to Ramadan, those associated with diabetes, and finally, the determinants of the person. Fasting period, fasting season, climatic conditions, previous fasting experiences are factors related to Ramadan. Factors such as the individual’s age, gender, job, pregnancy and breastfeeding status, eating behavior, exercise pattern, motivation and individual preferences are also individual determinants that affect the decision of fasting. We, as a physician, evaluate all these factors and advise our patients.
Prof. Dr. Mustafa Altay, “Studies have shown that the health of a diabetic patient who has at least one of the following conditions is negatively affected by fasting.” He gave the following information:
“In other words, in these patients, conditions such as diabetes mellitus coma, high diabetic coma, excessive dehydration, clot in vital organs such as lung and brain and progression of other organ diseases are more common. Therefore, as a physician, we do not recommend fasting for diabetics in the high risk group. If we count those with high risk diabetes; those who have poor blood sugar control, those who have been treated in hospital due to the decrease-increase in blood sugar in the last 3 months, those who have low blood sugar more than once a week, those who cannot understand that their blood sugar is low, those who have advanced and uncontrolled organ diseases Those who are incompatible in terms of treatment and follow-up, those who have impaired mental functions, patients over the age of 70 who live alone, patients whose glucose is not controlled with multiple insulin therapy, and pregnant women. “
Stating that it is seen in the studies that patients in the low risk group are not medically harmful when fasting, Altay completed his words as follows:
“However, the conditions necessary for low-risk patients to fast safely are also specified in these studies. These are: The patient should inform his physician that he wants to fast before Ramadan and should get the necessary training. All medicines he uses must be adjusted according to the fast. The appropriate diet must continue with the exercise program. While fasting, he should take blood glucose measurements from the tip of his finger several times a day.If the blood glucose is below 70 mg / dL or above 300 mg / dL, or if the patient feels bad, he must break his fast. They must continue their old treatments and follow-ups under the supervision of the physician after the end of Ramadan. “