Elderly Individuals and Ramadan Fasting

by Dr. Nadeemu Rahman

Important things to remember while fasting

Ramadan is a cherished time for every believer. However, it holds a special place in the hearts of the elderly. When the month of Ramadan approaches, the changes in the elderly members of our households are quite noticeable. Even if they may not be in the best health to fast, their enthusiasm and self-confidence often surpass that of younger individuals. Let’s explore what elderly individuals should consider before deciding to fast.

For healthy individuals, age or minor illnesses usually do not hinder fasting. However, those with chronic illnesses, individuals who rely on others for daily tasks, those suffering from memory-related diseases, or bedridden individuals may face health risks if they fast. Such individuals should only make the decision to fast after consulting a doctor.

Elderly individuals often suffer from multiple health issues, and as the number of ailments increases, so does the number of medications they need to take. It is essential to organize their medication schedule properly. Therefore, it is crucial to consult a doctor and inform them of your intentions. Before deciding to fast, it is important to seek advice and recommendations from your regular physician.

Things to Consider When Taking Medications:

Diabetic patients often take higher doses of medication during the day and lower doses at night, as we typically consume more food during the day. During fasting, since food is not consumed during the day and more food is eaten after breaking the fast, medication schedules may need to be adjusted accordingly.

Similarly, individuals taking medications for water retention, heart-related issues, or blood pressure may need to adjust their dosages, as fasting can lead to dehydration. Elderly individuals taking blood pressure medication usually do not need to make significant changes, but it is important to monitor blood pressure regularly, especially during the initial days of fasting or when feeling fatigued.

Medications for conditions like gas, ulcers, or thyroid should ideally be taken before Iftar (the meal to break the fast). Iftar should include a balanced meal with carbohydrates, fats, and proteins. It is best to avoid high-calorie foods, sugary items, excessive carbohydrates, and fried foods. Instead, focus on incorporating vegetables, proteins, and fruits into your diet.

Another significant concern, especially among elderly diabetic patients, is the risk of low blood sugar levels. Unlike younger individuals, elderly people may not always experience symptoms of low blood sugar. If blood sugar levels drop below 70 or rise above 300, it is advisable to break the fast. For elderly individuals, maintaining slightly higher blood sugar levels is safer, as sudden drops can be dangerous.

Dehydration is also a greater risk for the elderly compared to younger individuals. This is because the body’s mechanism for sensing thirst may not function as effectively in older adults. Therefore, it is important to ensure that they drink enough water during Suhoor (pre-dawn meal) and Iftar, even if they do not feel thirsty.

Light exercises, such as walking, can help improve digestion and maintain muscle strength.

Maintaining a regular sleep schedule is crucial for overall health. Disrupted sleep patterns can lead to sleep deprivation in the future. With proper planning, necessary medical check-ups, and advice from a doctor, elderly individuals can fast safely. However, it is important to remember that, according to Islamic teachings, fasting is only obligatory for those who are in good health.

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