Tuesday 03 / March / 2026
Muscat: As the holy month of Ramadan approaches its midpoint, healthcare professionals in Oman are urging residents — particularly those living with diabetes and other chronic illnesses — to seek pre-fast medical evaluations and follow structured lifestyle guidance to ensure a safe and spiritually fulfilling experience.
Dr Dilip Singhvi, Specialist in Internal Medicine and Diabetes at Burjeel Hospital, said while Ramadan is a deeply uplifting time, it can pose health challenges for individuals with underlying conditions.
“Ramadan is a spiritually enriching period, but it presents certain risks for patients with chronic illnesses. Prior medical assessment and careful planning can make fasting significantly safer and more comfortable,” Dr Singhvi noted.
He emphasised that individuals with poorly controlled diabetes, elevated cholesterol, chronic kidney disease, or cardiovascular disorders should undergo medical evaluation before beginning their fast.
Medication adjustment and blood sugar monitoring
Medical teams are advising patients to adopt tailored medication plans during Ramadan.
“For people with diabetes, adjusting medication timing and dosages is essential,” Dr Singhvi explained. “Self-monitoring of blood glucose (SMBG) should become routine. Checking sugar levels multiple times a day helps detect hypoglycemia early, before it becomes dangerous.”
Doctors reiterated that blood glucose testing does not invalidate the fast and remains a critical safety measure.
Nutrition and hydration strategy
Dieticians in Muscat stress that mindful eating is key to preventing both hypoglycemia (blood sugar below 70 mg/dL) and hyperglycemia (above 300 mg/dL).
“At iftar, begin with dates, water and fresh fruit — this follows the Sunnah and provides a gradual rise in glucose levels,” said a dietician.
“Avoid sugary beverages and heavily fried foods, as they can cause sharp sugar spikes and digestive discomfort.”
For suhoor, experts recommend complex carbohydrates such as whole grains, paired with lean proteins like eggs or low-fat dairy products. “These foods release energy slowly throughout the day, reducing the risk of sudden sugar drops and dehydration,” the dietician added.
Sleep and lifestyle balance
Beyond nutrition, physicians are warning against disrupted sleep patterns. “Sleep is not optional,” said a family physician.
“Late-night meals and inadequate rest can worsen headaches, destabilise blood pressure and drain energy levels — especially in people with diabetes.”
He pointed to a growing trend of people eating suhoor as early as midnight, unintentionally extending fasting hours and increasing metabolic stress. “Suhoor should ideally be taken 30 minutes to one hour before fajr. Proper timing and balanced nutrition are crucial for sustaining energy during the fast,” he advised.
Recognising medical emergencies
Doctors strongly emphasised that breaking the fast during a medical emergency is not only permissible but necessary.
“Warning signs of hypoglycemia include sweating, dizziness and confusion, while excessive thirst and nausea may signal hyperglycemia,” Dr Singhvi explained.
“In such cases, the fast must be broken immediately and appropriate treatment initiated.”
Quick-acting carbohydrates such as fruit juice or dates are recommended for low blood sugar, though persistent symptoms require urgent medical attention.
Medical professionals also addressed a common misconception surrounding insulin use.
“Injecting insulin does not break the fast,” doctors clarified.
“This myth must be dispelled. Some patients avoid essential insulin out of fear, which can seriously compromise their health.”
