There are many questions that preoccupy fasting people during the month of Ramadan, especially with regard to those with chronic diseases, and whether they are entitled to fast and who may break the fast.
In response to a question on the site "Islam Web" It was published years ago regarding people with chronic diseases, such as diabetes of both types, blood pressure, and renal insufficiency, in the month of Ramadan, and who are among these patients who are not entitled to fast? mentions site "Islam Web" That there are diseases that necessitate breaking the fast when infected, and fasting is not valid, such as type 1 diabetes that depends on insulin, whether (TIDM), or type 2 diabetes (T2DM) in the late stages in which patients also depend on insulin; Because fasting for long hours may lead to a dangerous decrease in the level of sugar, and fasting is not prescribed for that.
And he adds: There are also chronic diseases such as kidney failure, heart disease, and chronic digestive diseases that need continuous medical attention and care. There is nothing wrong with the patient following the doctor’s teachings, breaking the fast, and paying expiation for that, as the Sharia clarified.
As for the second type of diabetes that is treated with medication, fasting is an essential part of the treatment to the extent that some medical centers specialized in treating diabetes recommend fasting. Because it works to control the level of sugar in the blood significantly, and it is important to follow the instructions of the treating doctor, and adhere to the diet specified for them, including eating 3 meals (breakfast – a snack in the middle of the night – the pre-dawn meal) daily, and abstaining from foods that contain a large amount From simple sugars and saturated fats, breakfast should be hastened, and the suhoor meal should be delayed until before the dawn call to prayer.
Drinking the largest amount of fluids that do not contain sugar, such as water and fresh juices. Zamzam water is preferred for those who have access to it, while not exerting great physical effort, while avoiding staying for a long time in hot weather in order to avoid losing fluids through sweat during fasting hours. End the fast without hesitation at any time when a sharp decrease occurs in the drop in the blood sugar level below 60 mg, even in the event that you do not feel the symptoms of the decrease. This condition requires ending the fast immediately without hesitation and drinking a drink containing sugar, and repeating this until the blood sugar level returns. to the normal level.
At such times every year, patients visit doctors to work on re-adjusting doses and dates for taking medications. In order to fit the hours of fasting, and the amount of insulin may be less than the doses before fasting, and the time of taking the drug changes, and therefore the pills that are taken before breakfast can be taken before Ramadan before the Ramadan breakfast, as well as Glucophage pills or Janumet pills that are taken after lunch. After breakfast in Ramadan and after suhoor, with the possibility of eating it also after suhoor.
It is important to eat the Suhoor meal before the Fajr prayer, while avoiding sweets during that meal so as not to harm the blood sugar control process. It is preferable to eat beans, cheese and brown bread. Because it is a meal that remains in the stomach for a longer period, and the patient does not feel fast hunger with it.
