Home monitoring of blood glucose level is considered to be one of the most important tasks for diabetics, especially during the Holy Month of Ramadan.
Amani Ageenah, a Health Educator at Hamad Medical Corporation said:
All fasting diabetics are advised to carry out home monitoring to ensure the proper control of blood glucose level.’
Home monitoring enables diabetics to identify the impact of insulin and meals on their blood glucose levels. It also identifies blood glucose level at times when the patient feels they have a high or low blood glucose level.’
She said during Ramadan, the timing and frequency of home analysis differs from one patient to another.
In the first instance, diabetics should seek the advice of their doctor or health educator. But, as a rule, home analysis should be carried out before a meal and two hours after a meal to compare the analysis results with the targeted blood glucose levels as determined by the doctor.’
Ageenah said the acceptable limits of blood glucose level during the day should be more than 100 mg/dl and less than 200 mg/dl.
- Before fasting: 70 – 130 mg/dl
- Three hours after fasting: 80 -180 mg/dl
Further, times for analysis of blood glucose level should be at noon, before Iftar, three hours after Iftar, just before Suhoor and two hours after Suhoor.
Diabetics face some complications during Ramadan which can be managed. Diabetics can be susceptible to hypoglycaemia if Suhoor is missed while taking sugar controlling medicines, or if too much physical effort is exerted during fasting.’
It is important to maintain the daily quantity and quality of food prescribed by the attending nutritional therapist:
- Having two basic meals – Iftar and Suhoor in addition to a light third meal in between
- Suhoor should be delayed up to pre-dawn time
- Continue the usual daily activities, but rest during the afternoon
- Drink large quantities of water after Iftar to compensate for the fasting period
- In cases of hypoglycaemia, fasting should be immediately stopped and sugary food eaten, even if it is a short time before (sunset) Iftar time