Diabetes Talk Show- How Fasting in Diabetes Impact my Body?


Type 2 Diabetics fasts for long hours with religious reasons and diabetes
manage their blood glucose levels impacting various organs of the body .

More then 50 million Muslims observe Roza during the holy month of Ramadan .Which is an
obligatory duty for all healthy adult Muslims.

Globally very few are familiar with the medical ramifications of fasting among patient with
diabetes especially with Type 2 Diabetes.

People with diabetes, who fast during Ramadan are not able to keep there blood sugar level
under control .Long gaps between meals are bound to happen ,which can cause significant
changes to the blood sugar levels.

Frequent alterations in blood glucose spikes do have a
negative effect on their health especially the metabolism of vital organs .yet some people
with diabetes do observe Ramadan by fasting.

This poses a medical challenge not only for them as well as but for their care givers too.

HOW FASTING CAN IMPACT my BODY

Habitually our body go into fasting state around 8 hours after the last meal taken .primarily our
body makes use of stored sources of glucose if we take insulin or certain other medications ,it
can increases the risk of hypoglycemia this may cause some difficulties in maintaining your
body glucose levels later on in the fast our body will break down fats as sources of energy.

The Major Impacts on Body Metabolism is


CHO Metabolism in Ramadan


• Slight decrease in first week then normalization by day 20 and some rise in the last week
• 22% children develop hypoglycemia (BG <40mg/dl)
• Increase Gluconeogenesis in liver

Fasting and Lipid Metabolism

• Decrease in both Total Cholesterol and Triglycerides in first few days then rise to pre fasting levels
• Increase in HDL-C
• Effects are variable according to quality and quantity of food consumed at Iftaar and Sahur

Endocrine functions in Fasting

• Fall in free T3 but rise in rT3
• Slight fall in total T4 (due to fall in TBG) but normal freeT4 and TSH
• TSH response to TRH unchanged
• Serum Testosterone, LH, FSH may be normal or slightly low but GNRH response is normal
• Plasma Prolactin and PTH are normal

Renal Function in Fasting

• Urinary volume, osmolality, solute and electrolyte excretion remain normal
• Slight increase in BUN (insignificant)
• Increase in Uric acid (less in Ramadan fasting than in prolonged fasting)

It may be a good idea to do fasting .A couple of day in the month before Ramadan to see if you
are able to fast without any complications fortunately efforts are being made to create more
awareness initiatives on this subject are being undertaken ,similar activity is Diabetes par
charcha with renowned diabetologists of Mumbai but with increased focus more can be done
for sure.

Follow treatment guidelines as prescribed on the talk show watch live Facebook Live ,
guidelines are very important doctor may make some changes to your medication regiment as
per your fasting schedule .a great diabetes care initiative by IPCA laboratories

Facebook Page - Diabetes Par Charcha
Location: India

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