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Ramadan Diet Plan for Diabetics: Sehri and Iftar Guide

People with diabetes who are cleared to fast should eat a slow-release sehri as late as possible (protein, whole-grain roti, dahi), break the fast with water and 1–2 dates, and keep iftar fried food and sugary sharbat small. Check glucose during the day, and break the fast if sugar drops below 70 mg/dL or rises above 300 mg/dL.
  • By Sadaf Sajid, M.Phil
  • Consultant Dietitian
  • E-11 Islamabad

Written by Sadaf Sajid, M.Phil, Consultant Dietitian · Last updated

Before Ramadan: get a risk check

See your doctor 4–6 weeks before Ramadan to assess your fasting risk and adjust medicine doses and timing. People with type 1 diabetes, recent severe hypos, pregnancy, kidney disease or poor control may be advised not to fast. Islamic rulings exempt those whose health would be harmed.

Sehri: make it last

Include Example
Slow carbs 1 chakki roti or oats
Protein Eggs, daal, chicken, dahi
Fibre Sabzi, salad
Fluids 2–3 glasses of water
Avoid Parathas fried in ghee, pheniyan with sugar, sweet chai

Iftar: break gently

  1. Water + 1–2 dates.
  2. Pray, then eat a balanced plate: chana chaat, fruit chaat without added sugar, then chicken or daal with salad and 1 roti.
  3. Keep fried items to 1–2 pieces, ideally air-fried pakoras.
  4. Skip sugary Rooh Afza and juices, or have a small diluted glass.

Between iftar and sehri

Drink water steadily (8 glasses in total), take a light walk after taraweeh, and avoid continuous snacking.

When to break the fast

Break your fast immediately if glucose is below 70 mg/dL or above 300 mg/dL, or if you feel shaky, confused or faint. This is a medical necessity.

Book a pre-Ramadan review with Sadaf through the diabetes service.

Frequently asked questions

Can diabetics fast in Ramadan?

Many people with well-controlled type 2 diabetes can fast safely with medical guidance and medicine adjustments. Those at high risk may be advised not to. Decide with your doctor before Ramadan.

How many dates can a diabetic eat at iftar?

1–2 dates to open the fast is usually fine, followed by a balanced meal. Count them in your carbohydrate portion.

Aksar Pooche Jane Wale Sawalat (Roman Urdu)

Sugar ke mareez sehri mein kya khayen?

Chakki atta ki roti ya oats, anda ya daal, dahi, sabzi aur pani. Tala hua paratha aur meethi pheniyan na khayen.

Roza kab tor dena chahiye?

Agar sugar 70 se kam ya 300 se zyada ho, ya chakkar aur kamzori ho, to foran roza khol dein.

Read more from Sadaf

Sources

  1. DAR International Alliance – Diabetes and Ramadan guidelines
  2. American Diabetes Association – Standards of Care

This page is for general education and does not replace advice from your doctor. Nutrition therapy works alongside medical treatment; never stop or change medication without your doctor. Individual results vary.

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