Daffodil International University
Religion & Belief (Alor Pothay) => Islam => Ramadan and Fasting => Topic started by: fatema_diu on July 22, 2014, 11:53:40 AM
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It should be remembered that in the end of the day it is the choice of the patient to fast or not. If they are just told not to fast as a general rule and are not advised properly according to some guidance, then the results could be more disastrous as some will chose to fast and may end up with complications and still hesitate to contact their doctors!
The following patients are better off not fasting in Ramadan and should rather pay Al-fidyah (recompense i.e. feeding a poor person for each missed day);
1. Patients with brittle Type 1 diabetes (with poor control, hypo unawareness, frequent hypo and high blood sugar, severe kidney and eye complications patients with poorly controlled hypertension, unstable angina and those prone to frequent diabetic ketoacidosis)
2. Patients with poor diabetic control who are non compliant in terms of following the advice and treatment.
3. Pregnant Type 1 diabetic patients and those on insulin treatments with Type 2 diabetes. (Diet control pregnant women with Type 2 diabetes may fast if they wish).
4. Very elderly patients on insulin (Type 1 or Type 2) who have any degree of alertness problem.
5. Children under the age of puberty.
6. Those with learning disabilities, acutely ill, very old and frail
7. Breast feeding mothers with Type1 or Type 2 on insulin.