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Are you living with diabetes and planning to fast for Ramadan? Follow these practical tips and advice so you can enjoy a safe and healthy Ramadan . Consider your risk Fasting, refraining from using medications, insulin and drinking water will affect your blood glucose levels (BGL) and can lead to potential risks including high BGL (hyperglycaemia), low BGL (hypoglycaemia or hypo), dehydration, blood clots and diabetic ketoacidosis (DKA). According to religious tenets, fasting is not meant to create excessive hardship on an individual. It is a commendable spiritual practice but it’s one that can come with health risks for people living with diabetes. You may be advised not to fast if your diabetes management is unstable prior to Ramadan, if you have type 1 diabetes, if you are hypo unaware, pregnant, unwell, or will be performing intense physical labour. If you have compilations associated with diabetes, such as heart disease, kidney disease or visual problems, the risk of ...