Sweet Life diabetes community blog.
We were just sent info about the inspiring Freedom Swim next week. Read all about it below!
Meet Dr. Annabelle Slingerland:
She is visiting South Africa – Cape Town, to be exact. She is a keen swimmer. While she is here, connecting with medical friends, she is training to swim from Robben Island to the shores of Big Bay, and by doing so, she aims to help raise more awareness about Type 1 Diabetes.
She is swimming solo! On the 27th April from 9am till she reaches the shore around 12noon. It’s called the Freedom Swim. The Freedom analogy is strong… Many T1D’s may comfortably exercise external freedoms society offers but internally they may still be very imprisoned thinking they cannot achieve their dreams or goals due to diabetes. This is not the case. Does diabetes interfere somewhat with life? Sure, but it need not hold any person back from The Freedom to BE and contribute positively to our society.
We will support causes like this shining a spotlight on efforts to raise awareness about diabetes.
More details on how to get involved with The Freedom Swim will be posted next week.
We just got the following letter from HEALA and had to share it with you – Sweet Life has submitted comment, feel free to do the same!
ACT NOW TO TELL THE NATIONAL TREASURY AND PARLIAMENT TO PASS A STRONG SUGARY DRINKS TAX
BACKGROUND: WHY THIS MATTERS
In recognition of the negative health effects of sugary drinks, Minister of Finance Gordhan’s 2017 budget speech included a plan to tax sugary drinks—such as fizzy drinks and energy drinks—to help South Africans live longer and healthier lives. Tackling obesity-related diseases needs to be a national priority, and the proposed tax on sugary drinks is a first step in addressing this national epidemic. It’s important to raise as many voices as possible to strengthen and pass the tax.
Treasury and Parliament are acting NOW to further consider the proposed tax. The South African government has been under immense pressure from beverage companies and retail groups to weaken this important policy with exemptions, loopholes, and watered-down regulations—and they are having an impact! Even though there’s a proposed tax in the legislation, it’s critical to raise voices to encourage our leaders to strengthen and pass this life-saving measure!
That’s why Parliament and Treasury MUST hear from YOUR ORGANIZATION to make sure the final policy is strong and effective in reducing consumption of harmful sugary drinks among South Africans. They will accept comments on the proposal through 31 March.
Your organization has a unique voice and story to tell about why this policy is important to you. While it is critical to be active and engaged in speaking out on the necessity of a strong sugary drink tax, submitting public comments to Parliament and Treasury on the tax policy is especially impactful. Below are some key messages you can customize when submitting your comments, which are being accepted until Friday, 31 March 2017.
KEY MESSAGES: WHY WE NEED THE TAX
We support the National Treasury’s sugar drink tax and applaud them for their efforts to improve South Africans’ health; however, the tax can be strengthened to make it even more effective.
Sugary drinks are one of the most significant contributors to health problems such as diabetes, obesity, heart diseases, certain cancers, and dental caries in South Africa and globally. South Africans are among the top ten consumers of soft drinks in the world. In addition, South Africa is already ranked the most obese country in sub-Saharan Africa, and a recent study found that diabetes was the second leading cause of death among South Africans in 2015.
Sugary drink taxes work to reduce consumption, improve health, and save healthcare rands. Global experts—including the World Health Organization (WHO), World Cancer Research Fund, World Heart Federation, and International Diabetes Federation—recommend sugary drink taxes as a way to reduce sugar consumption. Evidence from Mexico and other jurisdictions that have passed taxes show declines in consumption that will work to decrease diabetes and other diseases without costing jobs.
The sugary beverage companies know that the tax will work to reduce consumption and make South Africans healthier. That is why they oppose it so vehemently. By passing a strong sugary drink tax, Treasury and Parliament can protect South Africa’s health and children rather than the special interests who target their unhealthy products to our most vulnerable consumers.
FOUR WAYS TO STRENGTHEN THE TAX
Tax all the sugar in all sugary drinks
The proposed tax design exempts a large portion of the sugar in sugary drinks—giving a “discount” on the first 4g of sugar per 100mL, no matter how unhealthy a beverage is. The discount reduces the health impact of the tax and is a giveaway to the beverage industry and manufacturers whose products have the highest and most harmful levels of sugars. There is no health justification for the exclusion, and no other country with a successful sugary drink tax has followed this structure. Treasury and Parliament need to remove the 4g discount and tax all the sugar in sugary drinks.
Increase the tax rate of concentrates
The current tax proposal includes a tax rate for concentrates (squashes or syrups) that is half the rate for ready-to-drink products. South Africans are drinking more and more concentrates than ever before; it is the fastest growing segment of the sugary drink market. Consumption in terms of kcal/capita increased from 16.5 percent in 2009 to 32.9 percent in 2016; by comparison, consumption of regular cola carbonates in 2016 was only 29.3 percent. To achieve its objective of improving health, the tax must encourage South Africans to consume beverages that are lower in sugar—instead of switching to cheap sugary concentrates. The tax rate for concentrates should be increased to align with the rate for ready-to-drink sugary beverages.
Tax all drinks with added sugar
The current proposal doesn’t include all sugary drinks. Fruit/vegetable juices and dairy-based drinks with added caloric sweeteners contain equal or higher levels of sugars, despite their illusion of health. Treasury needs to clarify their proposal so that all fruit and dairy-based drinks with added caloric sweeteners (whether using a fruit juice, concentrate-based sweetener, or any other caloric sweetener) are taxed.
Some revenue from the sugary drink tax should be used to promote health
While the sugary drink tax itself will be effective in improving health, it will be even more effective if some of the revenue is used to fund programs to promote healthy eating and improve health. It’s critical that the intent expressed in the budget speech to do this is carried out in practice. South Africans need to know that revenues will be used to benefit the health of the country. Revenue should be directed towards health promotion measures, such as increasing the number of community healthcare workers, funding nurses in schools, developing and implementing effective health and nutrition education campaigns, or improving water and sanitation infrastructure.
3 SIMPLE STEPS FOR SUBMITTING COMMENTS
- Introduce your comment by discussing why this is important to your organization; this is your chance to personalize your comments with your own experience
- Draft your comments on why the tax needs to be passed and strengthened, using some or all of the key messages in this document
- Email your comments by Friday, 31 March 2017 to: Ms Mmule Majola email@example.com and Ms Adele Collins at firstname.lastname@example.org
The South African government MUST put the health of South Africans before special interests who target vulnerable populations with their unhealthy products. Please make your voice heard today!
Healthy Living Alliance
We got sent this invitation this morning – doesn’t it sound fabulous? If you’re in Durban, check it out!
We are very excited to be organising our first event to raise funds for Diabetes SA.
Diabetes is a growing concern in SA and rising in terms of mortality.
Diabetes SA rely a great deal on fundraising so please help us to raise funds for this worthy cause and spread the word to family, friends & clients to support this fabulous event.
There will be a Decadent Morning Tea, Goodie Bags for everyone, Informative talks and Lucky Draw Prizes. Please see below details and note that the invite is extended to LADIES & GENTS.
The speakers at this event will be :
1) Dr Silvana Nienaber (Type 1 Diabetic)
2) Julie Peacock (Dietitian & T1D)
3) Doody Adams ( Editor of The Ridge Magazine ) : A mom giving her perspective on dealing with a child who has Type 1 diabetes.
We just got sent this information that we thought you – the South African diabetes community – would like to know about… What do you think? Want to get involved?
Healthy Living Alliance (HEALA) is an alliance of like-minded organisations with a mission to improve the health of an increasingly obese South Africa, compelled by the constitutional right that says that everyone should have access to clean drinking water and sufficient healthy food.
For our obesity prevention campaign, we are looking for people who have suffered severe complications from diseases like diabetes, heart disease and stroke who are willing to share their stories with us.
The sort of complications we have identified are; blindness, amputation, stroke or being on dialysis.
The purpose of this is to create awareness about the seriousness of non-communicable diseases, and the importance of making lifestyle changes to prevent complications. We’re hoping to find individuals who would like to share their stories in order to help others.
We would like to hear from YOU!
Have a question about healthy living and nutrition? Ask us here and we’ll get an answer for you!
How does exercise impact my blood sugar?
Regular activity is as key a part of managing diabetes as proper meal planning, regular monitoring and taking medication as prescribed. When you are active, your cells become more sensitive to insulin, which means that your body can work more efficiently. During exercise your cells also remove glucose from the blood using a mechanism totally separate from insulin. So, not only does exercising consistently lower blood glucose, it also improves your blood glucose control overall.
Get moving and get the most out of your exercise routine by incorporating strength training (to build muscle and body structure), cardiovascular training (to improve heart health) and flexibility training (to ensure supple limbs and range of movement).
How often can I eat eggs?
Eggs are relatively high in cholesterol, yet there is now enough evidence to suggest that we can eat an egg a day without a detrimental effect on our blood cholesterol levels
The South African food-based dietary guidelines allow for 4 eggs per week and here’s why:
- Eggs are a source of protein and several essential nutrients.
- Although eggs are relatively high in cholesterol – 210mg per large egg (50g) – they have a low saturated fat content.
- Many of the studies linking eggs to high blood cholesterol levels and poor heart health are now criticized and considered to be weak.
- New evidence suggests that eating eggs is associated with satiety (feeling fuller for longer), good weight management and better diet quality.
So, if you enjoy eggs, go ahead, include them in your diet.
- Prepare your eggs with no extra fat by boiling, poaching or scrambling them.
- Limit your egg intake to 1 egg per day. And, if you have raised blood cholesterol levels, limit your intake of animal fats and increase your vegetable, fruit and fibre intake.
- Egg whites contain no cholesterol. So, if a recipe calls for a few eggs, moderate your cholesterol intake by using two egg whites in place of one whole egg.
This information was brought to you by www.picknpay.co.za
Pick n Pay is committed to promoting health and wellbeing among South Africans and employs the services of a registered dietician to provide food and nutrition related advice to the public. For your nutrition and health related queries, contact email@example.com or toll free on 0800 11 22 88
For more fantastic information on diabetes and nutrition, visit Pick n Pay’s Health Corner.
We are the Blood Sugars project from the University of the Witwatersrand and the Chris Hani Baragwanath Academic Hospital.
November is National Diabetes Month.
We have created a performance that takes people through a reflective journey through the use of storytelling and metaphor.
The aim of the performance is to explore the complexities of living and working with Diabetes from the perspective of clinicians, patients and families with the ultimate aim of improving treatment outcomes through changed behaviour.
We would like to bring the performance to hospitals, clinics, schools and theatres as a way of reaching the general public.
We aim to perform in the month of October and November 2016.
Please email me if you are in Johannesburg and interested in hosting a performance.
Looking forward to hearing from you.
– Tshegofatso Seabi
– Health Communication Research Unit
– University of the Witwatersrand
Do you drink alcohol? Do you know how it affects your blood sugar? Here’s some fantastic advice from community member Ane on how to deal with drinking and diabetes:
I’m a second year student in Stellenbosch, which is not very helpful with all the beautiful wineries etc here for a type 1. I do, however, prefer to either drink nothing or drink something I know will not have an impact on my sugars too much. The problem with alcohol is it makes your sugar drop rapidly when too much alcohol is in the blood without sufficient carbs to keep levels stable. This is a confusing concept since 275ml of beer = 5 slices of white bread = carb overload!
➡ Do not drink cocktails. Nor shots. Ever. Try to avoid cloudy drinks as well.
➡ I would recommend not drinking and drinking Coke Light or water (much much cheaper) or if you have to drink and want to, have some whiskey or champ. (Whiskey is your best option, and champagne is regarded the best type of drink for ladies with Type 1 diabetes.)
➡ Always always have a friend with you that will not get drunk. In the (hopefully) unlikely event of a hypo, people will think you are drunk since it looks 100% the same in a club at 02:00..
➡ Keep carbs with you at all times, and never drink on a empty stomach.
➡ Set alarms in the morning to make sure that you don’t get a hypo. Rather little higher than too low.
➡ Wear something to say that you have type 1 diabetes..
Remember, we are all curious at some point in time about alcohol (and a lot of other things that have an influence on our levels) We try things, make mistakes, learn and educate others. Everyone is different, this is my opinion since I have experience.. Hope it helps!
I am a writer, copywriter and journalist; I have been running Humans of SA for 2 years – we also have a Facebook page. I wanted to create a space where I could share South African stories. My aim has always been to open windows into worlds we might know nothing about. I interviewed a lady recently who lost her father to diabetes.
She speaks about a lack of understanding in terms of care and treatment. I feel it is important to bring attention and help create more awareness by telling stories of people who are diabetic, of professions who can advice and help.
If you have a story you are happy to share, please get in touch by emailing me.
To all the diabetic mommies out there:
Being diabetic did you breastfeed your baby? I have found that my sugar dips from the breastfeeding. think I should stop as I nearly went into a coma, when I came to my sugar was 0.5, but I don’t want to stress my baby out. She does not like taking a bottle from me at all.
The doctors and councilors all seem to have different opinions. I have been feeding my baby less and have now got spiking sugars, I assume from my body adjusting again. I am very torn because my baby needs me more than my milk.
Has anyone else out there had the same situation?
Ramadaan can be a difficult time for those Muslim diabetics who want to fast and don’t know how to incorporate fasting into their diabetes diet.
We asked Pietermaritzburg-based dietician Sumaya Sooliman for some advice on managing diabetes during Ramadaan and she gave us this fantastic information… Read on!
Ramadaan is the ninth month of the Islamic calendar and is known as the month of believers. It is an opportunity for muslims to purify their minds, bodies, heart and soul. The important aim of Ramadaan is also to experience what the poor feel and what it is like to be hungry so that we appreciate what our creator has given us. Fasting is compulsory for muslims who have reached the age of puberty, are healthy and able to fast. Those who have conditions where fasting is seen as detrimental to health are exempt from fasting; however, this is entirely the individual’s decision. Diabetics fall under this category. There are however, many well controlled otherwise healthy diabetics who wish to fast. The following are guidelines to help those with diabetes to safely fast during Ramadaan.
What is diabetes?
Diabetes is a condition where the body is unable to make enough insulin (Type 1 diabetes) or it is unable to use the insulin it makes effectively (Type 2 diabetes). This affects the way the food we eat is absorbed into the body to provide us with energy. These result in a build-up of glucose in the bloodstream called hyperglycaemia.
The symptoms of diabetes include excessive thirst, excessive urination, excessive hunger, unexplained weight loss or weight gain, fatigue, blurred vision and frequent infections that take long to heal.
Diabetes and the above symptoms can be controlled with medication, diet and exercise. Type 1 diabetics are treated with insulin injections, whilst type 2 diabetics are treated with oral tablets and sometimes insulin. A person with diabetes can live a perfectly, normal, good quality, healthy life if they are compliant with medication, diet and exercise.
Which diabetics can fast?
It must be mentioned that only those diabetics whose blood glucose levels are well controlled, compliant with medication and otherwise healthy can safely fast.
Type 1 diabetics on insulin are at a higher risk for fasting as compared to type 2 diabetics. Type 2 diabetics on insulin are at a higher risk for fasting as compared to type 2 diabetics on oral hypoglycaemic agents. Poorly controlled type 1 or type 2 diabetics as well as diabetics with heart or kidney disease are very high risk patients and should consider not fasting. Fasting increases the risk of hypoglycaemia, diabetic ketoacidosis and dehydration and patients may require hospitalisation.
However, currently in South Africa, with the fasts being just about 12 hours, well controlled diabetics can safely fast. Furthermore, if they follow the guidelines correctly and use the fast as a means of detox and putting the right foods into the body, it can also be very beneficial. Fasting can improve weight management, result in weight loss and can be beneficial to improve insulin resistance and therefore improve the condition.
Before deciding to fast
It is important that the diabetic individual deciding to fast be aware of the risks associated with fasting and has had a thorough check up with the doctor to establish if it is safe for them to fast. Family support is imperative at this stage and it is important that the family understand the journey the patient will be undertaking. The family should also form part of the pre-Ramadaan education sessions in order to guide and support the patient.
It is crucial that they are educated on blood glucose control, adapting medication, exercise, what to do if experiencing hyper or hypoglycaemia or dehydration and the appropriate diet to be followed in order to reduce the risks associated with fasting. Furthermore, it is vital that they are informed as to when it is necessary to break the fast to prevent further complications.
The individual can decide if they will be fasting the whole month or if they will be fasting on alternate days. It is also beneficial if the individual practices a few fasts prior to the start of Ramadaan to establish if he/she will cope during Ramadaan. Furthermore, the fasting diabetic must inform those around him/her that he/she is fasting.
A diabetic who is planning to fast must not have a fear of fasting. The same diet can be followed during Ramadaan as during the rest of the year, the only difference is that meal times have changed and medication will have to be adjusted accordingly. Simply put, for a diabetic, in Ramadaan; the day and night are reversed. Hypothetically speaking, the iftar or sunset meal is like breakfast (breaking the fast); the meal from supper to after the evening prayers will be considered lunch and snacking and the sehri (pre-dawn) meal is considered as supper; so the fasting hours can be equivalent to the time when one is usually asleep at night and not eating.
Types of foods to eat during Ramadaan
- Foods that are high in energy, yet nutritious such as nuts and dates
- Foods that keep one full for a longer time ie. high in fibre such as whole gains and cereals eg. brown bread, oats
- Fruits and vegetables to provide enough vitamins and minerals
- Meat, fish, chicken, lentils, milk, eggs and yoghurt as these are good sources of protein and also keep one full for longer
- Drink lots of water to prevent dehydration
Types of foods to limit during Ramadaan
- Foods high in fat and sugar as these make you full very quickly and then hungry again soon after. They can result in hyperglycaemia immediately after eating and then hypoglycaemia later. They also make you sluggish so you get tired quickly and are low in vitamins and minerals eg. pies, samoosas,burgers , donuts and cakes.
- Drinks high in caffeine such as tea, coffee, fizzy drinks as this may cause dehydration
Suhoor/Sehri: The pre-dawn meal
At sehri it is important to eat foods that keep one fuller for longer. These foods include complex carbohydrates rather than refined starches and foods that are high in energy and protein. It is also important to drink water to keep you hydrated during the fasting day.
Example of a nutritious sehri
It is a good idea to start sehri with an energy dense fruit such as a banana. Thereafter, a bowl of wholegrain porridge such as oats or semolina, whole-wheat or bran cereals is suitable with low fat milk and a teaspoon of sugar or honey. It is a good idea to add a tablespoon of seeds (pumpkin, sunflower, sesame and linseeds) or nuts and muesli to the porridge to increase the energy and fibre content which will keep you fuller for a longer period of time. Thereafter 1 to 2 slices of brown or wholewheat/low GI bread with peanut butter or cheese is advised. Egg bread/French toast made with brown or wholewheat/low GI bread is also a good option.
If you are someone who does not enjoy porridge or cereal, an egg is a good source of protein and is very complex with vitamins and minerals. A fried, scrambled, boiled egg or omelette with brown roti or brown bread is a good option. Also, a toasted chicken and mayonnaise sandwich with low fat mayonnaise and some salad in the sandwich is nutritious or a bowl of haleem or soup with 2 slices of brown or wholewheat/low GI bread. One can also enjoy a bran muffin or brown flour scone with margarine and cheese.
One can drink water or fruit juice at sehri. Since mornings are going to be cold, a warm drink may be preferred. It is better to drink rooibos tea or Milo, Horlicks, Nesquik or hot chocolate rather than tea or coffee. If a powdered drink is desired, 3 level teaspoons of powder in a cup of low fat milk with no sugar is the recommendation.
It is advisable to end the sehri with a handful of unsalted nuts or almonds and up to 3 dates. The prophet Muhammad (peace be upon him (pbuh)) advised us on the excellent properties of dates and recommended dried dates for sehri as these are full of slow releasing energy that will sustain one during the day. Dates have a low GI between 35 – 55 and are therefore safe and ideal for diabetics. Drink a little bit of water at sehri. It is crucial that a diabetic does not skip this meal as it could result in hypoglycaemia later in the day.
Habits to avoid at sehri
Whilst there are foods to avoid, there are also certain bad habits that should be avoided at sehri. One should not stuff themselves for fear of feeling hungry during the fasting day. The above mentioned foods will not prevent hunger as this is the essence of fasting; but it will maintain energy levels so that we are able to function optimally. Avoid jumping into bed or lying down immediately after eating. This can make one nauseas, cause constipation and increase acid reflux and cause heartburn. It is advisable to wait 45 minutes to an hour after sehri before lying down. If you are someone who specifically battles with heartburn, sleep with the pillows elevated so you are not lying flat.
Iftar: The sunset meal (opening the fast)
It is important to open the fast with foods that are pure, whole and natural. After fasting the whole day and cleansing the body, it is advisable to continue with this process and consume good foods. It is prophetic teaching to open the fast with fresh dates as these are high in natural sugar and provide a burst of energy after going without food for the day. The prophet (pbuh) used to eat dates and cucumbers or dates and almonds together as they neutralise each other. Date is heat and cucumber is cool. It is advisable to open with dates and water.
Example of a nutritious iftar
The iftar table should be laid with dates, salad, fresh fruit and water. One can open the fast with up to 3 dates or half a cup of cut fruit and water and thereafter a soup with a slice of brown/whole-wheat or low GI bread. The traditional bowl of haleem (barley broth) or soup is beneficial as this warms the body after fasting.
Thereafter, one should break for the sunset prayer and return for supper. A traditional curry and rice meal cooked with minimal oil and served with a side salad or a vegetable is acceptable. Also grilled meals such as chicken, chops, steak or fish with roasted vegetables and salad or oven baked or air fried chips or baked or mashed potato is a good option. It’s important to ensure that vegetables or salad is served with the meal. Rice, whole-wheat pasta, brown roti and brown or whole-wheat breads or rolls are good options. It is also advisable to have a good variety of foods every day and alternate proteins ie. meat, chicken, fish as well as have meat free days eg. fish counts as meat free as well as lentils such as mung dhal. By having a good variety and combining starches, proteins and vegetables at meals, one is able to get all the nutrients they require in a short space of time. It is beneficial to drink water or ½ cup 100% fruit juice with supper.
Avoid foods that are high in fat and sugar and avoid overeating as this can result in hyperglycaemia. These include high fat, deep fried foods such as samoosas, bhajias, pies, donuts and cakes. Tea, coffee and fizzy drinks should also be limited at iftar time. Processed meats such a patties, polonies, sausages etc.should also be avoided. These foods are not only refined, high in fat and have low nutritional value; they cause constipation, bloating, stomach discomfort and heartburn. They also result in one filling up on these at the time of breaking fast and then not having space for more nutritious foods, therefore losing out on replenishing your nutrients after fasting. Furthermore, eating incorrectly at iftar and supper will affect you from performing the evening prayer optimally.
Habits to avoid at iftar
Avoid overeating and eating very fast. This is a sign of greed as well as will make you feel uncomfortable and sick. It is important that we thank the Almighty for blessing us with an abundance of food and a huge spread at our tables and remember those who don’t even break their fast because they have no food and bear in mind that for them, Ramadaan does not end. It must be mentioned here that our prophet (pbuh) has mentioned: the stomach is the home of disease and abstinence from gluttony is the head of every remedy.
The prophet (pbuh) has also guided us to eat just to sustain ourselves: The son of Adam never fills a vessel worse than his stomach. The son of Adam only needs a few bites that would sustain him, but if he insists, one third should be reserved for his food, another third for his drink and the last third for his breathing.
The evening prayer (Taraweeh)
Try to catch up on water intake and hydrate yourself during evening prayers. Keep a bottle of water with you and drink as you take breaks between your prayers. It is more important as well as more achievable to catch up on water intake during the evening non-fasting hours as opposed to the pre-dawn meal.
After taraweeh, healthy desserts such as ½ a cup of fruit salad and ice cream, custard and jelly, strawberries and cream or the milk falooda is acceptable. Use low fat milk in preparation. A cup of almond milk (homemade badam milk or kheer), or rooibos tea with whole-wheat crackers and cheese or 2 rusks or 2 small biscuits is also acceptable. If one is not feeling for the above, then one or two medium sized fruit is also a good option and an excellent way to still get sufficient fruit intake.
Normal daily activity that the diabetic individual usually engages in is sufficient and safe. However, excessive physical activity during fasting hours may lead to hypoglycaemia and dehydration. It is therefore safer to exercise two hours after the sunset meal. The taraweeh prayer is quite intense and can be considered a form of physical activity. Remember to drink lots of water during prayer intervals (rakaats).
It is crucial that you discuss your medication with your doctor before deciding to fast. Those on oral hypoglycaemic agents are at less risk than those taking insulin. However, since the evening involves greater food intake, the medication dosage would be altered where the ratio is greater at night as compared to the morning. Please ensure that you are aware of the correct dose and time of the medication during Ramadaan as this determines your overall well-being during the month and your ability to fast. Medication is individualised; there is no one size fits all so it is therefore of utmost importance that this be discussed with your doctor and both the doctor and family are aware that you will be fasting. This cannot be stressed enough as mismanagement can be detrimental and even fatal.
Blood glucose monitoring and breaking the fast
Blood glucose levels should be monitored frequently, at least 2-4 times daily ie. before, during and after the fast. Checking blood glucose levels does not break the fast. If the blood glucose is less than 3.3 mmol/l or greater than 16.7 mmol/l; the fast has to be broken to prevent further complications.
What to do if hypoglycaemia occurs during the fast
Break the fast with 2-4 teaspoons of sugar in water (sugar water); ½ cup of regular soda (cooldrink) or ½ cup of fruit juice. Check the blood glucose levels again after 15 minutes and then have a wholesome snack such as a slice of brown bread with peanut butter/cheese or ½ cup of yoghurt with muesli or 1 cup of milk with a teaspoon of sugar or honey as these will restore and stabilise the blood glucose levels. Monitor the blood glucose levels every 15 to 30 minutes thereafter until it restores to normal.
As a rule, diabetics should always carry sweets in their handbags, pockets or in the car in the case of hypoglycaemia. Diabetics should take a break from fasting for a few days to recuperate if they have had a hyperglycaemic or hypoglycaemic episode.
I would like to take this opportunity to wish all Muslims a blessed, prosperous and spiritually uplifting Ramadaan. I would also like to commend those diabetics taking on the challenge of fasting during this month. May the Almighty grant you strength and reward you for your efforts.
Healthy Bran muffin recipe for sehri
2 cups milk
1t vanilla essence
½ cup oil, 1 ½ cup sugar
2 cups bran
2 ½ cup nutty wheat
1 cup (carrots/apple/dates/pecans/mixed fruit/cranberries/muesli/almonds – your choice) *rub this into the dry mixture
*Add dry ingredients into beaten mixture. Beat well until everything is well mixed and evenly spread. Scoop into greased muffin pan and bake on 180 for about 20 minutes.
Healthy vegetable soup for iftar
½ cup 4 in 1 soup mix (1/4 cup pea dholl, ¼ cup pink lentils, ¼ cup barley, ¼ cup crushed wheat)
2 medium potatoes
2 medium tomatoes
2 large carrots
1 small onion
2 medium turnips
½t black pepper
*Soak dholls overnight. Boil all ingredients together and liquidise. Garnish with greens.
**Save Time Tip: Make a big amount on a weekend and freeze in smaller containers, and then take out, thaw and simply heat on the day you want to serve it.
- Al-Arouj M (2010). Recommendations for Management of diabetes during Ramadan. URL: care.diabetesjournals.org
- Managing diabetes during Ramadaan – Diabetes UK. URL: https://www.diabetes.org.uk>ramadan
- Joslin Diabetes Center (2016). Ramadan and Diabetes. joslin.org
- Ibrahim M (2015). Recommendations for management of diabetes during Ramadaan: update 2015. British Medical Journal. URL: drc.bmj.com
- Journal of Endocrinology, Metabolism and Diabetes of South Africa (JEMDSA) (2012). Management of diabetes during Ramadaan. JEMDSA 2012; 17(2): S88-S90.
- Imam Ibn Qayyim Al-Jauziyah (1999). Healing with the Medicine of the Prophet (pbuh). Darussalam Publishers and Distributers: Darussalam, Riyadh, Saudi Arabia.