A consultant endocrinologist at Al Zahra Hospital in Dubai, Dr. Vikram Hondia, emphasized that fasting diabetics needs discussion with the doctor, stressing that the course of the metabolism changes during the long hours of fasting, due to a change in diet, modification in the dose and timing of taking medications. He pointed out that all of these factors may lead to complications ranging from high or low blood sugar, to more serious complications, such as acute hypoglycemia and ketoacidosis (high blood sugar with ketones accumulation), which causes dehydration as a result of a decrease Fluid intake, high temperatures, and increased blood sugar. Hondia stressed that safe fasting for diabetics requires adherence to these five tips.
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