Doha: With Ramadan approaching, Hamad Medical Company (HMC) has urged sufferers with continual medical situations, corresponding to diabetes, kidney failure, and coronary heart illness to talk with their physician earlier than starting a quick.
Specialists from throughout the healthcare supplier’s community of hospitals say it’s crucial that sufferers with continual situations, significantly those that require every day treatment to deal with their sickness, search medical recommendation earlier than making any modifications to their weight loss plan and drugs regimes.
Professor Abdul Badi Abou Samra, Chairman of Inside Drugs at HMC, mentioned that diabetics who select to quick, want to concentrate on the potential well being dangers. He urges sufferers who plan to quick to speak with their docs as early as doable earlier than Ramadan begins, saying that whereas many diabetics can safely quick, modifications to weight loss plan, train, and drugs routines are sometimes required.
“Kind 2 diabetics with managed blood glucose ranges who don’t endure from renal or cardiac issues can typically quick safely, offered they seek the advice of their docs forward of Ramadan. Sufferers with sort 1 diabetes who take insulin, pregnant ladies who’ve diabetes are typically suggested to not quick. Your physician may help decide whether it is doable so that you can safely quick,” mentioned Professor Abou Samra.
He says for diabetics who do quick, it will be significant they monitor their blood glucose ranges recurrently and drink enough fluids throughout non-fasting hours. He recommends water over juice and sugary drinks or choices that embrace stimulants, corresponding to espresso and caffeinated mushy drinks.
Professor Abou Samra additionally advises sufferers with diabetes to eat the Suhoor meal and he recommends resting earlier than Iftar, however notes that sleeping throughout this era ought to be averted as some sufferers could also be in danger for hypoglycaemia.
“Sufferers with diabetes ought to converse with their physician or well being educator about when and the way typically they need to test their blood glucose ranges. As a basic rule, a studying of 80-180 mg/dl put up meal is taken into account secure and it’s advisable to eat the Suhoor meal as late as doable. We additionally advise sufferers to chorus from strenuous exercises throughout Ramadan, significantly throughout the few hours earlier than the sundown meal as that is when they’re in danger for low blood sugar. Low-intensity exercise is inspired and performing prayers ought to be thought-about as a part of the every day train programme,” added Professor Abou Samra.
Dr Hassan Al-Malki, Senior Marketing consultant and Head of HMC’s Nephrology Division, says for sufferers with kidney illness, the severity of their situation will decide if they can safely quick. He says whereas sufferers with acute kidney failure and people who have been identified with stage three continual kidney illness or greater mustn’t quick, it might be doable for some sufferers with kidney illness to soundly quick. In accordance with Dr Al-Malki, every affected person’s suitability for fasting ought to be evaluated by their doctor.
Dr Al-Malki famous that abstaining from meals and water can result in dehydration, which might trigger critical well being issues for these with continual kidney illness. He additionally pressured that kidney transplant sufferers ought to chorus from fasting resulting from their treatment regime, which is required to maintain the brand new organ working correctly and the affected person in good well being.
Dr Al-Malki mentioned sufferers who’re present process hemodialysis to deal with kidney failure will usually obtain the remedy 3 times per week and can’t quick resulting from IV fluid consumption throughout the process; nonetheless, he mentioned these sufferers can usually quick throughout days they don’t seem to be receiving hemodialysis.
In accordance with Dr Amar Salam, Senior Marketing consultant Heart specialist and Head of the Cardiology Division at Al Khor Hospital and Affiliate Professor at Qatar College School of Drugs, whereas it’s mandatory for coronary heart sufferers to talk with their physician earlier than enterprise a quick, particularly sufferers who require every day treatment, most cardiac sufferers are capable of safely quick.
“Whereas fasting is just not really helpful for some coronary heart sufferers, together with those that have not too long ago had a coronary heart assault or coronary heart surgical procedure, and sufferers who’ve narrowing or irritation of the aortic valve, analysis signifies that fasting is nice for the center. Fasting not solely lowers one’s threat for coronary artery illness and diabetes, however it might probably additionally trigger important modifications in an individual’s blood levels of cholesterol, growing HDL-C, the ‘good’ ldl cholesterol by 30 to 40%. Nonetheless, it will be significant for sufferers to seek the advice of with their physician, particularly sufferers who take treatment and would require timing and dosage modifications, and doubtlessly an alternate treatment,” says Dr Salam.
Dr Salam provides that coronary heart sufferers are suggested to eat small parts throughout meals and to keep away from fatty, salty, and sugary meals and enormous portions of drinks. He suggests sufferers who drink caffeinated drinks ease into Ramadan by lowering their consumption of tea, espresso, and different caffeinated drinks previous to Ramadan. He says going with out caffeine for lengthy durations of time throughout Ramadan may cause withdrawal signs corresponding to migraines and generally is a shock to the system.