Consultancy Corner: Manage diabetes in season of fasting and feasting

Here are five tips to enjoy this festival season in good health. 

Most religions exempt individuals from fasting if they are suffering from an illness. People diagnosed with diabetes fall into this. It is essential for a person with diabetes to consult his/her doctor before undergoing a fast of any duration. Fasting must be forbidden in people who have uncontrolled diabetes, complications of diabetes like high blood pressure and angina, a history of diabetic ketoacidosis, any other inter-current infection, who have undergone any surgery or are pregnant. Even if a person has controlled diabetes, it is advisable for him/her to discuss the full medical history and take advice from the doctor. A few points must be considered. They should not stop taking medication, however the dosing and timing of medication may need to change – this should be discussed with the diabetes healthcare team prior to fasting. Also check the glucose level regularly, continue having plenty of vegetables, whole wheat grain and pulses. Maintain your daily activity and do not overeat after breaking the fast. 

Moderation is the key to enjoying life. You can make minor changes to recipes for tasty but “not so healthy” dishes, by changing the style of cooking to make them healthier without compromising on the taste. For instance instead of deep frying cutlets you can enjoy grilled cutlets. Consult your doctor beforehand and learn about the food exchange system. For instance, one piece of barfi instead of your evening tea and biscuits. Rasgullas, rasmallai and sandesh are healthier options. It is essential to plan meals especially if you are going to attend a feast. Control your portion size. 

It is recommended for everyone, including people with diabetes, to continue their regular daily activity in every season. Several studies indicate that light to moderate regular exercise during fasting is harmless. If festivity includes lots of activity like shopping, playing garba and dandiya, then do consider snacks at regular intervals for preventing hypo. Monitor your blood sugar closely. 

It is always good to drink plenty of water and non-sugary drinks throughout the day to keep you well-hydrated. This also helps your blood glucose levels from becoming too high. Men should drink no more than three units a day and women should drink no more than two units a day. 

Monitor your blood glucose more frequently to see how well you’ve done and take action if needed. Never skip your medication. If you are on insulin, you can learn from your doctor about insulin dose adjustment according to your meal.