Tips to manage diabetes during Ramzan

The treatment can be determined only after studying the patient’s case. You haven’t mentioned how long he has been suffering from this disease. There are a number of options available now for Parkinson’s treatment including exercise, deep brain stimulation and other surgical treatment options. But, none of these are ready made options. You should consult a neurologist who can advise you on the required treatment. Life can be on track for those with Parkinson’s with timely intervention. You can take good care of them and they in turn, can lead a normal life. Dr Halprashanth DS, Head of Neurology, Global Hospitals

Ameen, Nungambakkam Short acting medicines and insulins should be avoided and the patient should be given only metformin in the morning. Adding a GLP-1 analogue (Dulaglutide) to this is preferred therapy for diabetics as the glycemic control is high and the risk of hypoglycaemia minimal. GLP 1 agonists is a befitting choice for diabetics during Ramzan due to their advantages which include their efficacy in lowering blood glucose levels, their lack of association with weight gain, and their tendency to not cause hypoglycaemia. Regular blood glucose monitoring during fasting is an absolute necessity, to screen for hypoglycemia and hyperglycemia. Monitoring should be done 2 hours after sehri, the early morning meal, and two hours before iftar that is the evening meal with which the fast is broken. Dr A Ramachandran, Dr A Ramachandran’s Diabetes Hospital