Ramadan fasting requires extra caution for diabetics

The month of Ramadan is approaching for Muslims. For many, it's a month of prayer and fasting.But for those with diabetes, it can bedifficult to manage religious obligations with keeping their blood sugar levelsin check.

Dr. Tyceer Abouhassan and dietitianNouhad Mokdadparticipated in a panel Sunday offering tips on fasting during Ramadan.

Here are five they shared:

Eat proteins and carbohydrates

Mokdad says keeping your diet balancedwith proteins and carbohydrateswill help keep your sugar at stable levels throughout the day, so you avoidcrashes that can come from drinking sugary beverageslike orange juice.

Break the fast with smaller portions

Instead of eating a big meal when breaking your fast, start with something small like dates and water, then build up with salads and then proteins, Mokdad says. Thishelps prevent overeating and helps the body absorb thenutrients it needs.

Drink lots of water

Abouhassan suggests drinking four bottles of water each day. Water helps keep you hydrated, which helps counter many of the side effects of fasting, like headaches. Abouhassan saysdrinking a bottle of water at the start of each meal will give you the twolitres necessary for the day.

Watch your exercise

Exercise helps regulate blood sugar, but you need to be careful during the fast, Mokdad says. Avoid excessive activity during the day when it is hot and keep checking your blood sugar throughout the day. Checking your blood sugar each time you pray is a good habit.

Meet with a doctor before fasting

While fasting is an important part of Ramadan, both Abouhassan and Mokdad stress overall health comes first. Check with your doctor before fasting to make sure it's safe for you. This might meanadjusting your medication first, or modifying the way you fast.