Dr. Mohammed Mahtab Hossain Mazed

It is obligatory for every male and female to adult during the month of Ramadan. But most of the time, diabetes patients are very difficult to do this duty. Because at this time they have to change their diet and medication schedule. And the change causes the calories of their body and the incess for the drug.

This can suddenly increase the levels of sugar in the blood. And this is the reason why the patients of diabetes need pre-pre-commencement and training in advance for fasting during Ramadan.

Diabetes patients suffering from daily: Diabetic patients suffer various problems due to fasting. According to various surveys, hypoglycemia levels increase in the body of diabetic patients during Ramadan. The main reason for this is not eating for a long time. Hot and humid weather and hard work can cause excess urine in the hypoglycemia due to excess urination. At the same time, the amount of electrolytes in the body can also be reduced. As a result, the blood profession may be unconscious, falling and injury, bone breaks, and various complications can occur.

> Diabetes patients to do during Ramadan: In the first preparation, diabetes patients should know if their body is suitable for fasting. If the level of sugars is uncontrollable in the body, that is, severe hypoglycemia or sugars, ketocidosis or sugars should not be fast.

Apart from diabetes, other physical problems such as liver problems, heart disease and kidney problems, but it is better not to fast. In this list, however, pregnant diabetes patients and patients who are taking dialysis will also readIt is safe to fast for those who are controlling the sugars only through eating and exercise or eating metformin, DPP -4 inhibitors or Glitzaz.

There is some risk for those who use insulin or drugs. In this case, they must know the levels and time of the drug. In addition, the amount of food will be according to the doctor's advice

> Diabetes Patient Eating: In the month of Ramadan, diabetes patients will be the same as the demand for calories. At this time only the intake of food and the time will change a bit. Iftar is beneficial for these patients with alternative sugar, tokma, lemon raw mango or sorbet is beneficial for these patients. However, both talk and sweet fruit salads can be eaten. It will fill the mineral salt and vitamin deficiencies. In addition, a mixture of adakuchi, tomato leaves, mint leaves and salt can be consumed with raw leaves. Raw ghee helps reduce blood cholesterol and relieve constipation.

> Food should not be excluded at night (next Iftar). Of course, you have to eat less. Other times dinner will be equivalent to diabetes patients during Ramadan. The patient can eat rice, but the amount of food allocated by the doctor should always be careful. Cooking in light spices, any small fish and vegetables can be eaten regularly.
> Take bread or rice according to your interest in Sehri (at dawn). The amount of Sehri's food should be equal to the other day of lunch. There may be fish and vegetables in Sehri. Milk or pulses are good if there is one. It will not increase the levels of sugar in the blood.

> Drugs and insulin: In the month of Ramadan, the dietary period will change as the drug and insulin levels and schedule will also change. And of course, with the advice of an experienced doctor, the drugs of the day should be changed at night. Because the dose of the drug depends a lot on the amount of sugar in the blood. And that's why the drug schedule cannot be changed by itself. You must consult a doctor.

> Exercise:-It everyone knows that exercise is very important for diabetes patients. And those of them who exercise and walk every day by a rule. This month they must change that routine. Fasting cannot be exercised and too much walking. However, you can exercise after an hour of Iftar and before Sehri.

> Symptoms of diabetes: The problem that diabetics suffer the most is to urinate repeatedly. As a result, fluid in the body is reduced and more water gets thirst. On the other hand, the condition of 'cells starvation' is created in the body of diabetes. As a result, the body gives a message that the brain is hungry. This is why patients with diabetes are hungry. Despite eating plenty, they lose weight. All the time surrounds fatigue. If the wound is made anywhere, it does not want to heal easily. Different dermatitis attacks increase. Gradually the sexual ability is reduced to the diabetes sufferers.

Weight is very important for patients with diabetes. If the weight is high, it must be reduced through eating and exercise. Sugar and sweet foods should be eliminated. Fat foods should be added to the diet. It is best to follow a diet. If a person is regularly taking insulin or other medications, then the food should be eaten regularly. Because excluding a belly food can be fatal. It is possible to control diabetes if you live a good and systematic life. Currently diabetes is in dire shape. That is why it is absolutely necessary to spread awareness among everyone. Because awareness can keep us away from this scandal.

Homeopard Constitution: Not a disease is treated. For this reason, if you can choose metallic treatment by selecting the full symptoms of a diabetic patient, then it is possible through the mercy of Allah. Initially, the physician who selected experienced physicians may come to August, Cephalada Indica, Cygizium, Acid Phos, Arsenic Bromide, Acid Lactic, Uranium Night, Nux Role, Acid Estic, Calcaria Foss. Therefore, using medicine without an experienced physician, the disease can reach a more complex form. So to keep the body healthy, diabetes must be aware of daily diet during Ramadan.

The writer is a, physician, columnist and researcher Founder and Chairman,Jatiya Rogi Kallyan Society.