ESSENTIAL DO'S AND DON'TS FOR HEART PATIENTS FASTING IN RAMADAN
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ESSENTIAL DO'S AND DON’TS FOR
HEART PATIENTS FASTING IN
RAMADAN
More than one billion Muslims worldwide abstain from food, drink, and
oral medications from dawn to sunset during the holy month of
Ramadan. Patients with chronic illnesses are exempt but most elect to
fast. The fasting period typically lasts 15 to 16 hours, and two meals are
eaten during the night. People with heart problems should take extra
precautions while fasting during Ramadan, and consult their
cardiologists, particularly in determining the proper timing and dosage of
their medications, in order to avoid complications.
Patients should consult their cardiologists on how their medication
should be administered during Ramadan. Patients and doctors may have
to explore the possibility of substituting shorter acting medication with
long-lasting ones in order to compensate for the daily 15-hour fasting
time.
Fasting has no negative impact on patients with stable heart conditions
who have no recurrent symptoms, such as chest pain or shortness of
breath. In fact, fasting could be beneficial for them. Lower food intake;
abstaining from smoking, which will relieve the system of tobacco’s
harmful effects; and the stress-reduced atmosphere associated with the
Holy Month of Ramadan; will reduce heart disease risk in general, and
also have a positive impact on people with heart conditions.
FAQs Q1. Should a person with diabetes fast? People who have their diabetes under control, either by diet or using tablets, may fast. However, their Doctor may require them to make changes to their medication in order to help them take tablets outside the times of fasting. Those injecting insulin are advised to take single dose of long acting insulin (Lente) after Iftaar as compared to short acting insulin (Rapid). Q2. Should a person with high or low blood pressure fast? Those with well-controlled high blood pressure may fast with lifestyle alterations and/or medication. Their Doctor may require a change to their medication in order to help them take tablets outside the times of fasting. A person with so-called ‘low blood pressure’ who is otherwise well and healthy may fast. An adequate intake of fluid and salts in the diet is advised. Q3 Is it safe to fast for Ramadan after recent heart surgery? If you have undergone recent heart surgery or have had a heart attack, you should avoid fasting or going on a restrictive diet for at least 6 weeks. To give your body the best chance of healing, fasting may not always be possible. Q4 Should a person who taking his blood thinners (anticoagulants), or any medications for an irregular heartbeat, fast? He can continue fasting , only change your blood thinner, Short acting blood thinner Apixaban and dabigatran )to long acting ( rivoroxaban to be taken once a day for irregular heartbeat instead of using a Pill in the pocket approach - Metaprolol to Metolar XR Diltiazem to Dilzem SR which has sustained action throughout the day
Other heart-related reasons to avoid fasting include:
• Recurrent chest pain
• Heart failure that leaves you fatigued or short of breath
• Narrowed or inflamed aortic valve (stenosis)
• Being under constant medical observation
Q5. Will I need to take my medication during fasting hours?
If you’re on heart medication and want to avoid taking oral tablets between
dawn and sunset, your doctor may be able to give you versions with longer-
lasting effects for the duration of Ramadan, depending on your prescription.
Speak to your doctor in advance to find out if this is possible. Bear in mind
that if there are no other alternatives, you may not be able to avoid taking
medication during fasting hours.
If you’ve had a stent implanted, you will likely be on dual antiplatelet therapy
for atleast a year to prevent blood clotting (which means you’ll be taking 2
types of medications, clopidogrel and aspirin). You should be able to fit these
around your fast by taking clopidogrel before sehari or after iftar, and your
aspirin after iftar.
Always speak to your doctor before beginning your fast so you can explore
the best options for you.
Q6. What should I do if I start feeling dizzy or unwell during my fast?
Light-headedness can be brought on by dehydration, so you should try to
avoid this by drinking plenty of water when breaking your fast.
If you do feel dizzy or unwell, and this feeling doesn’t subside after 20
minutes, notify your doctor. Seek medical attention immediately if you feel
feverish, short of breath, or faint.
If you’ve concerns about your heart health, always speak to a specialist.Q7. What should I eat when I keep fast (Sehri)?
The fasts of Ramadan can improve a person’s health, but if the correct diet is
not followed, it can possibly worsen it! The deciding factor is not the fast
itself, but rather what is consumed in the non-fasting hours.
Overeating can harm the body. A diet that has less than a normal amount of
food but is sufficiently balanced will keep a person healthy and active during
the month of Ramadan.
You try to eat little and often, switching 2 big meals for 4 smaller portions.
The diet should be simple and not differ too much from one’s normal
everyday diet. It should contain foods from all the major food groups, as
shown below.
This must always be accompanied by some complex carbohydrates and
proteins. A meal comprising carbohydrates and proteins and some hydration
works brilliantly to kick start your day.
These meals will help you get through the fasted state as they are rich in
complex carbohydrates which will provide fuel through the day, proteins and
healthy fats from nuts will bring satiety and energy at the same time.
• Include, eggs with multigrain bread, date milkshake with pumpkin seeds,
chia seeds and flaxseeds.
• Oats smoothies, oats or quinoa with milk, chia pudding, oats pancakes,
overnight oats ( you just have to soak them in a jar overnight).
• For savouries you can try quinoa upma, amaranth porridge, scrambled
paneer or eggs with multigrain bread or chapati's to name a few.Q8. What should I eat as break fast (Iftaar)?
• Break your fast with sips of water.
• If you are going through symptoms like mild headache or acidity have
ginger water or fennel water.
• Other fluids like chia seeds water (sabja water), fresh coconut water,
kokum sherbet, buttermilk, lassi, nanari juice, Assam, gulkand milk are
some healthy fluid options.
• You can also accompany this with a bowl of fruit salad and dates.
• Eat fruits like watermelon, muskmelon, oranges, apples, kiwi for
hydration.
• Prepare your meals with healthy proteins like chicken thighs or breast
fillets, fish, lentils, eggs, paneer and a smaller portion of red meat,
remember legs have most of the fat so avoid them.
• Some iftaar meal ideas are curries with rice and salads or grilled kebabs
with rice and salad, grilled fish or chicken with vegetables, roast with
vegetables, stir-fries and sautéed vegetables, quinoa or vegetable pulao
with proteins.
Desserts are the most looked forward part of the day
Carrot or ghia burfi, makhana or fox nuts kheer, coconut laddoo, mung daal
burfi, mung daal halwa, flaxseed laddoo are some healthy options.
Try apple slices with date syrup, grilled pineapples, cottage cheese with a
hone. Swap refined sugar with jaggery, coconut sugar, date syrups and date
paste. Adding these sweeteners will add minerals like phosphorous to your
diet which helps in ease cough..
We should not focus on restricting calories, instead, we should focus on the
right kind of foods which can be sustained. Implementing some of the above
ideas in your Ramadan menu will help you find even a better version of you
during the fasting month.Bread, Other Cereals
And Potatoes
Fruit and
Vegetables
Meat, Fish Milk and
and Alternatives Dairy Foods
Foods Containing Fat
Foods Containing Sugar
Foods to avoid Healthy/alternative foods
Whole grains, eg chickpeas (plain, or with potato in
Deep-fried foods, eg pakoras, samosas, fried yogurt with different
dumplings Indian spices), samosas baked instead of fried, and
boiled dumplings
High-sugar/high-fat foods, eg Indian sweets such as Milk-based sweets and puddings, eg Rasmalai,
Ghulab Jamun, Rasgulla, Balushahi, Baklawa Barfee
Alternate with chapattis made without oil, and
High-fat cooked foods, eg parathas, oily curries,
baked or grilled meat and chicken. Try to make
greasy pastries
pastry at home and use a single layer
Cooking methods to avoid Alternative cooking methods
Shallow frying – usually there is very little
Deep frying
difference in taste
Grilling or baking is healthier and helps retain the
Frying taste and original flavour of the food, especially
chicken and fish
Start with measuring the oil used in curry and try
to bring the oil content down gradually, eg
reducing five tablespoons to four. This is a good
Curries with excessive oil
way of reducing oil without noticing much
difference in the taste. A useful tip is to use more
onions and tomatoes in the bulk of the curryYou can also read
