Nigeria Ramadan 2026: Medical Experts Clarify Fasting Safety for Diabetic Individuals
As Muslims across Nigeria commenced the Ramadan fast on Wednesday, February 18, 2026, following the sighting of the new moon, critical health concerns have emerged, particularly for those living with diabetes. Medical professionals have provided detailed guidance on whether fasting is medically safe for diabetic patients, emphasizing that it depends on individual health factors.
When Fasting with Diabetes Is Possible
Doctors have advised that fasting during Ramadan can be feasible for some diabetic patients, but this is contingent on strict blood sugar control and overall health status. According to experts, patients with well-managed diabetes, especially those not on insulin or with type 2 diabetes, may fast safely with proper adjustments. However, they strongly caution that individuals with poorly controlled diabetes or serious complications should avoid fasting to prevent health risks.
Aliyu Shehu of the Federal Teaching Hospital in Birnin Kebbi explained that contraindications for fasting include poorly controlled blood sugar, frequent hypoglycaemia episodes with symptoms like dizziness and sweating, and patients on insulin injections or with other severe health issues. He noted that patients on medications taken once or twice daily can typically adjust their dosage to align with sahur and iftar times, but insulin-dependent individuals must consult their doctors beforehand.
Risks and Recommendations for Diabetic Fasting
Diabetes, a chronic condition affecting insulin production or usage, can lead to dangerous fluctuations in blood glucose levels during prolonged fasting. Doctors warn that fasting increases the risk of hypoglycaemia (low blood sugar) or hyperglycaemia (high blood sugar), which can cause complications such as excessive thirst, urination, or even loss of consciousness. Jonas-Attabo Samson of the Federal Teaching Hospital in Katsina highlighted that type 1 diabetic patients, especially those requiring multiple daily insulin doses, are generally advised not to fast, while type 2 patients may do so if they have no chronic complications like kidney or heart disease.
For those who can fast, practical advice includes continuous glucose monitoring, consuming complex carbohydrates during sahur to sustain energy, and keeping iftar meals lighter to avoid sudden blood sugar spikes. Samson emphasized that all individuals, regardless of faith, should check their glycaemic control before starting a fast and break it immediately if symptoms of hypoglycaemia or hyperglycaemia occur.
Prioritizing Health During Spiritual Observance
Medical experts unanimously agree that while Ramadan fasting offers spiritual benefits, health and safety must remain the top priority for diabetic patients. They urge all individuals with diabetes to seek professional medical guidance before deciding to fast, ensuring personalized assessments based on their specific conditions and treatment plans. This proactive approach can help prevent adverse health outcomes and support a safer fasting experience during the holy month.
