Warning for those with chronic diseases in Ramadan

SAFAKNA TURKEY – With the advent of Ramadan, many of us began to worry about the iftar tables. The situation is somewhat different with chronically ill and pregnant women: they ask: “Will I be able to fast?” answers the question … According to experts, the answer to this question should be sought under the supervision of a doctor. Cardiovascular surgeon Assoc. Dr. Cem Arityurk, specialist in endocrinology and metabolic diseases. Dr. With Saida Dashdamirova, Op. Dr. Gamze Baykan Özgüç shared her special Ramadan warnings and suggestions for people with chronic diseases and pregnant women.

Don’t give up heart-healthy foods in Ramadan too!

Assessing the issue of healthy fasting in terms of cardiovascular disease, which is one of the chronic diseases, Assoc. Cardiovascular Surgeon at the Livskaya Hospital. Dr. Cem Arityurk said: “For some patients with cardiovascular disease, fasting is not recommended as it can be dangerous. Therefore, patients should act in accordance with the advice of their physicians and should not fast unless their physician permits. On the other hand, an issue that cardiovascular patients who may be fasting during Ramadan should be careful about is diet. Recalling the importance of foods that reduce the risk of cardiovascular disease and help reduce the level of bad cholesterol by increasing the level of good cholesterol, Assoc. Dr. Cem Arityurk said: “The consumption of fat that our body needs is basically “good” for our health; Give preference to unsaturated fatty foods. Eat foods that are high in saturated fat in specific and appropriate amounts, and completely avoid trans fats, which we call “bad fats.” Accordingly, you can basically use olive and sunflower oil in your salads and meals; You can include foods like olives, avocados, almonds, walnuts, peanuts, hazelnuts, sunflower seeds, corn, and fish like salmon, mackerel, anchovies, and trout in your diet.”

Eat multi-grain bread instead of pita bread

Noting that excessive and unhealthy consumption of carbohydrates can lead to increased blood sugar, blood pressure and blood fat levels, as well as serious health problems such as diabetes, hypertension and cardiovascular disease in the long term, Assoc. Dr. Jam Arityurk recommends fiber-rich foods for carbohydrate intake: “Those who prefer high-carbohydrate foods such as starch and sugar in sahure will feel hungry all day long. To feel full longer, choose multi-grain bread instead of pita bread. Foods such as breakfast cereals, breads and pastas made from whole grains that are high in fiber and low in sugar; Grains such as brown rice or quinoa are beneficial as they stabilize blood sugar levels.”

Eat protein-rich foods against fatigue

By recommending protein-rich, high-fiber foods for satiety and long-lasting satiety, Assoc. Dr. Cem Arityurk said: “Taking a balanced and sufficient amount of protein will also prevent tiredness and fatigue that can develop during the day. The diet should provide a balanced distribution of animal protein sources, consisting of eggs, meat, fish, milk and dairy products, and vegetable protein sources such as dry legumes, oatmeal, hazelnuts, peanuts, almonds and chia seeds.
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Choose fruit over juice

Assoc. Dr. Regarding fluid intake, Cem Arityurk said: “Consumption of 2.5 liters of fluid per day for women and 3.5 liters for men is ideal in terms of maintaining fluid balance in the body. The best type of drink is pure water from a known source. Then you can drink ayran, freshly squeezed fruit juices, simple soda, tea and coffee. However, we should not forget that eating whole fruits is healthier than drinking only their juices. For example, an orange has twice as much fiber as a glass of orange juice; It has half the sugar,” he said.

Specialist in endocrinology and metabolic diseases. Dr. Saida Dashdamirova Cases of severe hypoglycemia have become more frequent in Ramadan

Liv Hospital Specialist in Endocrinology and Metabolic Diseases. Dr. Saida Dashdamirova also gave information about the possible and serious risks of fasting for diabetics. According to studies, severe low blood sugar (hypoglycemia) in Ramadan is seven times; Noting that high sugar levels quadrupled, Uzm. Dr. Saida Dashdamirova: “High-risk patients may experience complications such as severe low blood sugar and high blood sugar levels, as well as loss of fluid in the body (dehydration), low blood pressure, fainting, trauma, thrombosis (formation of blood clots in the blood) during fasting. He warned people with diabetes not to fast:

Patients with diabetes at high risk should not fast

“People with type 1 diabetes, those with acute illness, those on dialysis, those with severe diabetes, those who don’t realize their sugar levels have dropped, those with a three-month average blood sugar level above 8 percent, those who were hospitalized within the past three months due to diabetes-related coma, high or low blood sugar levels, those who developed organ damage due to diabetes, those who live alone, use insulin preparations or group sulfonylurea, patients over 75 years of age, those taking multiple insulin therapy are considered to be at high risk. Fasting is not recommended for such patients, but if they insist on fasting, an individual treatment plan should be developed, the patient should receive the necessary training and more often than usual check blood sugar levels at the fingertips. Measuring blood glucose levels at the fingertip and donating blood does not invalidate the fast. If the patient’s blood sugar level is below 70 mg/dl or above 300 mg/dl, or if he is not feeling well, he should definitely break the fast; If there is no improvement in blood sugar, you should seek medical help by going to the hospital. Continuing to fast after measuring blood sugar levels below 70 mg/dl can be life-threatening.

Patients with low-risk diabetes should take the necessary steps to treat

We remind you that patients diagnosed with diabetes mellitus and planning to fast must definitely go through a doctor’s control to assess the situation 1-2 months before Ramadan. Dr. Saida Dashdamirova reported that “Patients who are treated with drugs with a low risk of developing hypoglycemia and whose average three-month blood glucose test is below eight percent may fast after the necessary therapeutic measures if they have not been hospitalized within the last 3 months due to low or high blood sugar.”

Livskaya Hospital of Gynecology and Obstetrics – op. Dr. Gamze Baikan Ozgyuch Can expectant mothers fast?

One of the most common questions for expectant mothers is whether it is possible to starve during pregnancy. Department of Obstetrics and Gynecology of Liv Hospital Op. Dr. Gamze Baykan Ozgyuch “I am pregnant, can I fast? He stated that answers to questions such as “How will it affect my baby if I leave him” will be different for every pregnant woman: “Many studies show that the effect of fasting on pregnancy and baby does not show significant results. However, regular and quality nutrition and fluid intake are very important during pregnancy. I recommend that pregnant women evaluate the overall effects of prolonged fasting and insufficient fluid intake with their physician and make an appropriate decision about fasting.”

What negative consequences can develop for mother and child?

Kiss. Dr. Gamze Baykan Özgüç also provided information on situations that can be observed in expectant mothers who are fasting: “Decrease in maternal blood sugar due to prolonged fasting, increase in blood insulin levels, increase in fatty acids in the blood, decrease in intravascular blood volume circulates throughout the body, a decrease in blood pumped out of the heart can have negative effects in the body, such as worsening water balance, reduced blood flow to the kidneys, and reduced diuresis. Mechanisms to protect the child from these developing changes come into play. As a result, we may face negative consequences on the part of the child, such as lack of movement in the child, a decrease in the volume of blood in the vessels that support the blood supply to the child, and a decrease in the volume of amniotic fluid. “.

Tips for moms-to-be who will be fasting

“Pregnant women who decide to fast should eat between iftar and suhoor, consume high protein foods instead of fatty carbohydrate foods, and not neglect drinking water,” Op. Dr. Gamze Baykan Ozgyuch recalled that expectant mothers with some health problems should definitely fast. Kiss. Dr. Gamze Baykan Özgüç said: “Pregnant women who have pregnancy risks such as hypertension, kidney disease, diabetes, risk of preterm birth and stunting of babies should definitely not starve.”