Fasting during the holy month of Ramadhan is a deeply spiritual experience for Muslims. However, for individuals with chronic illnesses such as diabetes, heart disease, or kidney conditions, the decision to fast requires careful preparation and medical guidance.
According to Dr Nisanth Kallinkeel, a specialist in internal medicine at NMC Specialist Hospital, Al Hail, most individuals with chronic conditions can observe fasting if they plan in advance.
Steps for a safe fasting experience:
Consult your physician at least 2-4 weeks before Ramadhan to adjust medication doses, meal plans and exercise routines. Never stop life-saving medications without medical advice and monitor blood sugar levels regularly if you have diabetes. Always stay hydrated and avoid excessive caffeine, sugary drinks, or fatty foods.
Break the fast wisely — choose nutritious, balanced meals over binge eating.
Fasting may not be suitable for pregnant women with high blood pressure or gestational diabetes.
Many chronically ill individuals experience guilt for not fasting. However, Islam emphasises intention and well-being, and those who cannot fast can still earn blessings through good deeds.
Registered Dietitian Sumaira Fatima Mirza stresses the importance of portion control and a balanced diet during Suhoor and Iftar.
Diabetes management requires medical fitness assessment, blood tests and family awareness of low/high blood sugar symptoms.
Pregnant women should focus on high-calorie, nutrient-rich meals, including protein and healthy fats.
Nutritious meal choices include oat soups, harees, lentil soup, lean meats, fresh fruits and laban.
Post-Taraweeh snacks and good sleep enhance overall health during fasting.
Dr Nisanth also highlights Ramadhan as an opportunity to quit unhealthy habits like smoking, leading to lifelong health benefits.
With proper planning, medical advice and mindful eating, fasting can be a safe and fulfilling experience for many. However, when health is at risk, seeking alternative ways to observe Ramadhan spiritually is the best choice.
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