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Diabetic patients generally have no restriction to keep on fasting. There may be more risks for some. For example,
Advanced kidney disease, if dehydration is dangerous.
It is difficult to fast for those who take heart medicine for eight or ten medicines.
If there is a risk of physical risk from too much sugar disorder.
- Recently there has to be treatment for diabetes complications (such as ketoacidesis).
- Fasting of pregnant women is not right.
- Fasting can not be kept fast if insulin is taken or there is a risk of hypoglycemia with other medicines.
- Fasting is dangerous for the mother even if not warned.
Food on the day of fasting
It would have been better to have a work-day, office etc. in the month of Ramadan, at least by the end of the day, it is necessary to work hard. There is no special ban on eating. What we eat at other times, so there will be no problem playing. During the fasting, there is a problem because of eating special meals. The first of the iftar, the first half of the day, consumes most of the day's meal, six times the food is thrice thrice. Sweet foods are eaten more. It is possible to eat calories properly. If breakfast is iftar, if dinner is sehari, if after lunch, after lunch, there is no problem. The problem is that if some eat iftar at night; Many people do not eat anything in the last night, but after the iftar, they eat it (snacks) till sehari. The regular dinner will be eaten on the last night.
Must be sweets for fasting. Fatty foods and potters will eat less. Frozen oil / fat more (calories more in fat). The groundnut will not run. Good to eat less frequently. In fact, the amount of food, menu, time and everything changed during fasting.
Fruit: It is good to eat fruits for everyone. Diabetes patients should eat one sweet fruit every day. It is very good to eat sour fruit. In fact, there are fructose. Fructose flavors are sweet like sugar; But it does not have glucose. That is as good as for the more fructose diabetic patients. During our fasting days, our dates of eating dates. Dates are not prohibited. Regardless of the quantity (four to five per day) it is better to play properly.
On the day of fasting, special care of the doctor
-Check that the patient has the ability to fast
- Concentrate on the possible complications of rosaras and the patient's solution
It is important to understand if blood glucose can be tested after fasting - Provide ideas about medicines and exercises
- The right dose tablet is provided in the table
What could be the problem of Rojadar?
Dehydration: Due to water scarcity, lack of physical labor, medicines etc., there is a possibility of water shortage, but in reality it is less. For this, you have to drink water at night. Dangers must be eaten up till dawn. Work can be done in the first part of the day. In fact, early problems of Rosary were adjusted but later on they were adjusted.
Hypoglycemia (Hypo): Some symptoms occur when the sugar is very low. The normal human glucose is 2.5 mm or less. Hypoglycemia occurs when those who make diabetes medication 3.5 are 3.5. Diabetic patients have to be considered hypo with symptoms rather than seeing blood volume.
Statistics do not support our idea even though we are afraid. It is not correct to have a fast, but it is not right. It is good to remember, if you do not get diabetes medicines, it is not hypo. The fear of hypo all drugs is not the same. Even if you do not eat 12-14 hours, there is no hypoglycemia. People who eat sulfonoluria tablets and insulin have a high risk of hypo. So there are drugs and dosage adjustments. If you suspect the blood from the finger should be examined. If you are sure, then take sweet taste. The seahari will be eaten at the last minute of the night. Iftar and groundwater and sehari light diet or no food habits will be omitted. During the day, as far as possible to reduce physical labor. Day-to-day exercise in Tarabi has to be determined by the amount of exercise.
Kituacidosis, HyperAmler State / Hypoglycemia: Here dehydration is a big factor, especially for older people. Due to hypoglycemia, many people are excluded from medicines or many people are unjustifiably reducing. If the work is done less then the sugar becomes more. It is better to reduce glucose-rich food and party feed. To reduce excessive sugar (hypoglycemia), eat less sugar. Complex carbohydrates (bread, rice) and vegetables, pulses, fruits and fennel foods should be eaten more.
Dietary problems: Food and road food in the city iftar and seharry are the cause of stomach problems. Empty food all day can not tolerate everything. Some medicines may also be dropped. There is the possibility of vomiting, thin bowel disease, decreasing sodium potassium and decreasing urine.
Blood tests in the daytime: If you have had glucose control three months ago, you should not have something to do in one month, do nothing unreasonable. According to the scholars of different countries including Bangladesh, Egypt, Saudi Arabia, they do not break fast after examining blood from fingers. Those who do not have glucose control; After two hours of Sehri, before the Iftar, blood tests of one or more of the iftar after two hours have to be tested. Six nights before breakfast and 8-10 mm after target. If it is less than 4 mms at 5 pm, it is better to break fasting when it is 300 mg (16.7 mm) more than any other time. If hypoglycemia symptoms are to be tested by confirming the sugar, routine rotation will be broken.
Regularization of medicines: The easiest way is to drink medicines by drinking the iftar water in the evening. The rest is shared by eating at night and eating it.
Insulin: Those who take two doses of the day; They will take the evening in the evening. It is easy to remember - iftar means snack We celebrate it in the evening on the day of rosā, hence the next dose of breakfast is taken to iftar (nashata). The second dose was taken last night. (The first night of the prescription drug, the last night, the last of the medicines). But the warning is to drink or drink injection after drinking the iftar; Before eating injections, eat after breakfast; Prayer does not come in the food (for preventing hypoglycemia). The second dose of Rosa can be taken halfway at the beginning. Four to five days after the sehari (8 to 10 am in morning) Sugar will be tested. If the blood sugar is more than 10, then insulin will increase last night. The reality is that patients who do not have control of insulin do not need to reduce their dose. If one day is given one day, then insulin is available in the blood throughout the day. Degeldug (Trecibah such a drug). There is a lot of glarus, liveries. Liraglutide reduces the disintegration of insulin, so much so that. These medicines can be made with Sastane / Modified (SR, MR, XR) tablets at the other end during the last night. However, before every meal, you will have to give insulin to Rapid Acting. Mix insulin or coopure evaluation / Rapid Acting Combination needs more tests to fix dose. In this case, on the first night, injections of mixed insulin can not be hypo-or low-end tablets.
Tablet
Sulfonoluria: Sulfonoluria works for 24 hours, so it is better to take one dose in the evening. Sulfonoluria reduces if glucose is low in the body. That means eating or eating glucose will be less, so the hypothesis may be more. Customized Release (SR) Modified Release (MR) Tablets are preferred.
Metformin: insulin sensitizer. If glucose is not high then glucose does not decrease, so hypo is not about to be. Two can be taken at two o'clock in the afternoon and on the florescence. It should be remembered that metformin diarrhea and vomiting can be the reason. If possible, the minimum dosage in the day of fasting is possible.
Incredible (wildgeliptone, sitagliptin, sexagliptin), liraglutide: insulin emission that accompanies meals; They do not allow the insulin to break. So evening dusk is safe on Rose Day. If there is risk of vomiting or diarrhea, then reduce dosage.
If laraglytide is tolerated, then only one dose of medication may be taken in the evening.
Modified treatment can be treated with sulfonoluria if Metformin and Incretin or their group of compounds are not susceptible. However, the idea that insulin can continue with one month pills is not correct.
SGL 2 Inhibitor: New drug experience is also less. They are dehydration, it is better not to be used as a result of increased ketoacidase. It is safer to take it at midnight if it is not eaten at night.
Fasting exercises: Exercise is essential for controlling diabetes. During Ramadan, the exercise of pilgrimage will be done as a labor exercise for the hour of prayer. After an iftar hours, manual labor is good. Better to eliminate manual labor at the end of the day. The road to going to Tarabi can be turned upside down.
Those who are accustomed to trade; You can conveniently match the trade 15-30 minutes at night. But if you can do the same time every day well.
Water: Fasting on the hot day, big day. Be careful about water. Drinking water rich in cucumbers, tomatoes, watermelons, dabas From the beginning of the night at night, water will be used till the last time of sehari. There is no need to fear the days are big. There are many countries in the world; Where the day starts at 5am; The end is at 10pm. Actually the body has a lot of adjustment capacity.
Advantages of ROSA: Increase the habit of self-restraint, sympathy. Tea coffee teaches us to quit smoking and avoid eating unwanted foods and habits. Leaves, donates, teaches to share and eat.
Health: Burning body and unnecessary things during the day's exposure to contaminated substances and unnecessary things.
Before Rosa, Saberat can be taken as a trial only; Many people kept fasting for two days a week. All of these are good for the Muslim diabetic patients to get the roast experience. Ramadan is not a problem for 30 days if you try to control diabetes three months ago.