About this advice

Ramadan, a month of profound spiritual significance, presents unique considerations for individuals living with diabetes. Balancing religious observance with health management is paramount. To support this endeavour, Diabetes UK, in partnership with the British Islamic Medical Association (BIMA), has developed a factsheet designed to guide individuals with diabetes through Ramadan safely and effectively.

Prioritising Pre-Ramadan Consultation:

• Healthcare Team Collaboration:
  • Before Ramadan, a thorough consultation with your diabetes healthcare team is paramount. This allows for a personalised assessment of your current diabetes management and an evaluation of the potential risks associated with fasting.
  • During this consultation, discuss your recent blood test results, all diabetes medications you are currently taking, and any existing diabetes-related complications or risk factors.
  • This is also an opportunity to discuss any challenges you face in managing your diabetes and to collaboratively develop a safe fasting plan.
  • If your diabetes control is not optimal, your healthcare team may advise against fasting this year, focusing instead on strategies to improve your management for future Ramadans.
• Imam Consultation:
  • Seeking guidance from an Imam is also recommended, especially if your healthcare team advises against fasting. Imams can provide insights into alternative ways to observe Ramadan, such as offering charity or providing food to those in need.

Understanding Risks and Developing a Safe Fasting Plan:

• Risk Assessment:
  • The risks associated with fasting vary depending on the type of diabetes, medication regimen, and the presence of any diabetes-related complications.
  • Individuals using medications that increase the risk of hypoglycaemia (low blood sugar), such as sulphonylureas and insulin, should be particularly cautious.
  • Those with existing complications, such as poor vision, nerve damage, or heart or kidney disease, may face a higher risk of exacerbating these conditions during fasting.
• Safe Fasting Plan:
  • Collaborate with your healthcare team to develop a personalised fasting plan that includes:
    • Increased blood sugar monitoring and ensuring an adequate supply of testing materials.
    • Clear guidelines on how to manage high or low blood sugar levels, including sick day rules.
    • Potential adjustments to diabetes medications, including changes in dosage or timing.
    • Strategies for managing insulin therapy during fasting.

Managing Blood Sugar and Dietary Considerations:

• Blood Sugar Monitoring:
  • Regular blood sugar monitoring is crucial during fasting to detect and prevent hypoglycaemia or hyperglycaemia (high blood sugar).
  • Know the signs and symptoms of both high and low blood sugar, and understand when it is necessary to break the fast.
  • Carry hypo treatments, such as sugary foods or drinks, and a bottle of water at all times.
• Dietary Guidance:
  • Make healthy food and drink choices during Suhoor (pre-dawn meal) and Iftar (evening meal) to maintain stable blood sugar levels.
  • Focus on balanced meals with complex carbohydrates, lean protein, and healthy fats.
  • Be mindful of portion sizes and limit sugary and fatty foods, especially during Eid al-Fitr celebrations.
  • Utilise provided resources for healthy recipes.