With the approaching month of Ramadan, and the many of diabetics to fast during the holy month, it becomes more challenging to avoid the risks and potential complications, so we’ll talk in this article about how the management of fasting in patients with Type II diabetes when pregnant.
Divides patients with Type II diabetes into several sections based on the system of treatment followed this sections are:
- Patients who are treated only by improving diet and exercise.
- Patients who are treated by medications taken through the mouth.
- Patients who are treated using insulin.
Because of that most of these patients are elderly, so they may be more prone to develop some complications which you should pay attention to such as:
- High blood pressure.
- The participation of cholesterol in the blood.
- Drought and limits blood clots in the blood.
First: patients with diabetes who are undergoing treatment by improving their diet
Patients with Type II diabetes who are treated by diet alone, less vulnerable to the risks caused by fasting.
With that keeps these people more prone to the occurrence of a rise in blood sugar, especially after a meal suhoor and breakfast if over-eating so helps to distribute the calories instead of two meals to three meals or four meals that include a meal suhoor and breakfast and two small between them, this system helps prevent high blood sugar after eating.
Match the diabetic patients of this kind to exercise regularly next to control their diet, so you must modify an exercise program to have on hand its intensity and timing to avoid injury to the quality of the shortage of sugar in the blood.
To learn more about how to modify the diet during the month of Ramadan continued to read from here.
Second: diabetics who are treated by medications taken through the mouth
Choose this category for patients as drugs given by mouth are are of drugs that increase insulin sensitivity or is it from drugs that increase insulin secretion which may increase the risk of hypoglycemia.
Patients taking metformin “allows”
Can these patients the fasting and securely so that the likelihood of transfer of the Sugar little, but with that adjustment in the timing of the doses so as to include:
- Give a two-thirds (2/3) the daily dose immediately before breakfast.
- Give one-third of the dose remaining by the time of suhoor.
There are other talking about the possibility of stopping medication during the month of Ramadan, provided adhering to a diet moderately and enjoy excellent health.
Patients taking drugs sensitive to insulin other
This group includes drugs for insulin sensitivity, such as rosiness pioglitazone, can this category of hunting them securely so that their risk transfer low sugar and do not require any adjustment or change in doses of drugs.
Patients taking medications sulfonylurea
Think of this class of drugs is suitable for use during the fasting period because they increase the chances of the occurrence of hypoglycemia and therefore should be used with caution.
Containing group, the predecessor of Colonel Yuri on a wide range of medicines and the most important recommendations about these drugs:
- Prevents the use of chlorpropamide “Chlorpropamide” is divorced during the month of Ramadan because it increases the likelihood of the occurrence of bouts of hypoglycemia for long periods.
- Drugs liked or limped “Glimepiride” safer than a hand injury transfer of sugar when the person is broken, only that there is no proof of the extent of the possibility of their use during the maintenance period.
People taking drugs the secretion of insulin short-term
This category includes people who take medications ripened “Repaglinide” United “Nateglinide”.
Think these drugs are safer than drugs sulfonylureas because of the short duration of its action and can be used during the month of Ramadan, where it is taken twice a day: once before breakfast and another before a meal suhoor.
Patients with Type II diabetes who use insulin as a treatment
Aims the use of insulin in these patients to maintain the necessary levels of treatment for the prevailing lack due to resistance of body cells to insulin, also aimed at inhibiting the production of glucose in the liver and make it within its natural limits.
May suffers diabetes of the second type of the same problems suffered by diabetics of the first type except the incidence of hypoglycemia is less have.
You can use the same strategies in patients with diabetes of the first type which you can get from here.
Judicious use of types of insulin, both medium-or long-term along with the short acting insulin is an effective strategy in these patients, however, low blood sugar remains risk-based but less private that most patients with this type of seniors.
Fasting and diabetes
Lead pregnancy to many of the physiological changes in patients with diabetes, it works to increase the body’s resistance to insulin sorted and, on the other hand to reduce the insulin secretion of the body so your glucose levels after eating have a dialogue is much higher than other non-pregnant.
Also linked to the high level of glucose in blood and the level of stocks of sugar increase the risk of congenital malformations when the fetus without increasing the risk of death as well.
In general, the decision of fasting in pregnant women with diabetes should be taken based on the health of the mother and the fetus as well as the opinion of the physician fundamentally.
In the case of the insistence of pregnant women with diabetes on fasting must be acknowledged for their special care and must include:
- Assess the state of their health as well as condition of the fetus before the month of Ramadan.
- To teach need how to manage her diet and how it is used to treat insulin intensive.
- Provide health advice about complications associated with high sugar both the fetus and the mother.
How to deal with patients with high blood pressure and increase cholesterol in the blood during fasting
A lot of patients with Type II diabetes suffer from other diseases such as hypertension , increased cholesterol and so control of these diseases during the period of fasting is important as well, because of that fasting may expose these patients to drought which may affect the decrease in blood pressure, because of differing food habits during Ramadan, these patients advise after tips from them:
- Dose adjustment of drugs pressure they have after consultation with the doctor to prevent the decline they have during the fasting period.
- Avoid eating foods rich in saturated fat and carbohydrates, which are frequently consumed in public in the month of Ramadan.
When I check my blood sugar
Of the most important steps necessary to ensure the maintenance of a safe is to check your blood sugar frequently and cycle through the day.
Advises associations, diabetes organizations World Health checking of sugar 6 times a day and as follows:
- Before suhoor.
- In the morning.
- The time for Zuhr prayer.
- After the stick.
- Two hours after iftar.
Also recommend this product sugar test when a patient feels tired.