Hi tmohammad.
I see that you are a T2 on diet only ?
If so the numbers you should be aiming for are the Feb 2009 NICE guideline figures which are as follows :
Fasting (waking)...............between 4 - 7 mmol/l.
2 hrs after meals..............no more than 8.5 mmol/l.
If you are able to get lower than this, so much the better.
As for your fasting I am not a Muslim but a little research found this:
Ramadan fasting is obligatory for the healthy adult but when fasting may significantly affect the health of the fasting individual or when one is genuinely sick, Islam exempts him from fasting. "God intends every facility for you, he does not want to put you into difficulties" (Quran 2:185). However, a significant number of ill patients, for whatever reasons, do decide to observe the fast. And it is these patients who need to seek the opinion of health professionals on an individual basis.
The International Journal of Ramadan Fasting Research has suggested the following guidelines for health professionals treating Muslim patients with diabetes:
"Diabetic patients who are controlled by diet alone can fast and hopefully, with weight reduction, their Diabetes may even be improved. Diabetics who are taking oral hypoglycaemic agents along with the dietary control should exercise extreme caution if they decide to fast. These patients should consult their medical doctor for dose adjustment. If they develop low blood sugar symptoms in the daytime, they should end the fast immediately."
In all cases of Muslim diabetics fasting, they should closely monitor their blood sugar levels especially before and after meals.
You should discuss this with your GP for further advice.
Ken.
