Doctor MJ

Fasting during Ramadan is useful for removing toxins from the body, improving brain performance and avoiding the risk of dangerous diseases. However, changing the time you eat while fasting also causes complaints, such as dizziness, stomach pain and dehydration. Gastric pain. Gastric pain is caused by an increase in stomach acid due to an empty stomach during fasting. Increased stomach acid causes the following reactions : Nausea to vomiting. Abdominal pain. Sweating. Heartburn. To avoid stomach disease when fasting, do the following : Sahur. Avoid acidic, spicy, greasy and caffeine foods. Eat foods that are easy to digest so that digestion works properly. Eat little by little during break fasting to avoid rising stomach acid due to eating too much. Dehydration. Dehydration during fasting often occurs due to lack of fluid intake into the body. Dehydration causes reactions : Dizzy. Nausea. Fatigue. Dry mouth. Halitosis. To avoid dehydration while fasting, do the following : Set the patt...

Can diabetic patients fast in Ramadan? Diabetes mellitus is a condition of excess sugar levels in the body due to a lack of the hormone insulin. In normal conditions, the body produces the hormone insulin to store excess sugar in the blood to the muscles / liver as a backup. When blood sugar decreases due to fasting, the body will release the hormone glucagon which functions to remove sugar from the muscles / liver to be used for energy. In diabetic patients, the use of insulin and glucagon is not optimal so that they are at risk of : Hypoglycemia ➡️ lack of blood sugar because no food is consumed when fasting. Hyperglycemia ➡️ excess blood sugar due to insufficient consumption of diabetes drugs when fasting or consuming sugary foods when breaking fast and suhoor. Diabetic ketoacidosis ➡️ high waste substances in the form of ketones in the blood which are dangerous. Dehydration ➡️ lack of fluids during fasting and high urinary frequency in diabetic patients. Diabetes patients who are n...

Healthy tips during fasting. Adjust your routine and lifestyle ➡️ healthy behavior in the month of Ramadan must be done so that the quality of health is better and you don't get sick easily. Eating at dawn is very important ➡️ Don't smoke. Eat lots of fruits and vegetables. Greasy food can cause blockage of blood vessels, resulting in reduced oxygen flow and resulting in drowsiness during the day. Morning, afternoon, until evening ➡️ Do daily activities. Break fasting and dinner ➡️ During break fasting drink warm water and sweet foods without added sugar. Dinner according to a balanced nutrition menu and do not smoke. Physical activity ➡️ Perform physical activity for at least 30 minutes. Set sleep patterns ➡️ Get enough sleep for at least 9 hours every day. Healthy food during fasting in pandemic conditions : Fruit 3-4 servings. Vegetables 2-3 servings. Water ¾ glass (100 grams). Complex carbohydrates to slow down hunger (brown rice and corn). Choose protein with less fat (ski...

During the month of Ramadan, Muslims fast from Subuh to Maghrib. What about patients who have to take drugs? Ensure that the patient is safe to fast and does not take medication during the time of fasting. Drugs that must be taken several times a day, consider changing the type of drug, the regimen is changed to a dose of once or twice a day. (example: katopril 2 × 1 becomes lisinopril 1 × 1).  If the drug regimen cannot be changed, adjust the time to take medication from break fasting to dawn. Example : 3 × 1 ➡️ 6 PM (break fasting) - 11 PM (near midnight) - 4 AM (sahur). Patients of type 2 diabetes.  In patients with type 2 diabetes, be careful with the risk of hypoglycemia. Educate the patient to adequate portion of suhoor, adequate hydration after break fasting until bedtime. The use of the first generation sulfonylurea and SGLT2 needs more attention. Metformin 3 × 500 mg can be changed to a dose of 2 × 1000 mg. For insulin use, use long-acting insulin at night and fast-ac...

At the time of break fasting, the food consumed must meet the requirements, consisting of : Appetizers. Drink. The main food. Avoid foods that are high in fat and very sweet from added sugars. WHO recommends drinking plenty of water (at least 10 glasses) and hydrating foods. Menu for adults with normal nutritional status (± 2100 kcal / day) : Appetizer 210 calories ➡️ ± 7 peace of date seeds or salad. Main food 840 calories ➡️ Rice, animal protein, vegetable protein, vegetables, orange fruits. Dessert (before take a bed) ➡️ avocado fruit.