Fasting during Ramadan: Experts suggest how people with diabetes can manage the fasting window
Times of India
by VAIBHAVI V RISBOODFebruary 22, 2026
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Ramadan fasting can be a safe practice for individuals with diabetes if they approach it with careful planning, medical supervision, and blood sugar monitoring. Experts emphasize that proper preparation, including consulting healthcare professionals, adjusting medication schedules, and managing meal portions, is crucial for minimizing risks like hypoglycemia or hyperglycemia.
For those with well-controlled type 2 diabetes, fasting during Ramadan may be feasible under structured guidance. However, individuals with complications such as kidney disease, heart failure, or recent infections should avoid fasting due to increased health risks. Medication adjustments are often necessary, particularly for those on sulfonylureas or insulin, to prevent hypoglycemia during the fasting period.
During Suhoor, the pre-dawn meal, slow-release foods like whole grains, lentils, and vegetables should be prioritized to maintain steady blood sugar levels. Avoiding salty or sweet snacks can help reduce thirst and rapid glucose spikes. At Iftar, breaking the fast with small portions of balanced meals is advised, avoiding excessive fried foods or sweets that could lead to sharp glucose increases.
Regular blood sugar monitoring is essential and does not break the fast. Blood sugar readings below 70 mg/dL or above 300 mg/dL indicate the need to break the fast for safety. Taraweeh prayers can also serve as light physical activity, helping to stabilize post-Iftar glucose levels.
For individuals with diabetes, managing Ramadan fasting safely requires a combination of medical guidance, mindful eating, and vigilant monitoring. This approach ensures they can participate in the spiritual practice while maintaining their health, highlighting the importance of cultural sensitivity and health awareness in global health discussions.
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Originally published on Times of India on 2/22/2026