Hi, I’m Dr Junais Azan I’m a GP in Bradford Also sitting on the City CCG as the lead for diabetes. Ramadan begins this week and like myself, there’s going to be a lot of Muslims fasting This is when you don’t eat or drink anything between sunrise and sunset. Which can be up to 17 hours, this year. Ramadan can pose a challenge to the health of patients with diabetes and other long term health conditions Most patients with diabetes should be ok fasting, however there are certain patients that are higher risk with diabetes. For example, those taking insulin or those patients that have other health conditions like heart disease or asthma. For these particular patients it would be sensible to get advice from a health professional before fasting just in case there are any changes to their medications that are needed Everyone should be looking after themselves during Ramadan but particularly those diabetic patients. Everyone can take a few simple steps to improve their diet and lifestyle during Ramadan, for example when breaking their fast, it’s important to have small portion sizes rather than overdoing it. Certain people look forward to more fatty foods, like samosas like myself but it’s more important to have slow burning foods, like basmati rice the other thing is to avoid sweet and fatty foods if you can. During Ramadan, we know that diabetic patients can be at higher risk of hypoglycemia, also known as hypos, so we recommend that patients monitor their blood sugars more regularly during the day. If you feel you are getting signs of a hypo it’s important you seek urgent medical attention. With all of the advice given today, we’d like to reiterate fasting is a personal choice and if you have any further queries you can speak to your healthcare professional team or your imam. We wish you a blessed Ramadan.