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Maintaining Blood Sugar During Fasting

know how to maintain blood sugar during fasting, understand the basics, how to prepare for pre-fasting, and choose the right foods to maintain healthy levels.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Rohinipriyanka Pondugula MBBS

Last updated on 4th Aug, 2025

Introduction

Fasting is a common practice for religious, health, or personal reasons. However, for people with diabetes or those prone to blood sugar fluctuations, fasting can be challenging. If not managed carefully, it may lead to dangerously high or low blood sugar levels.

This article will guide you on how to maintain stable blood sugar levels while fasting, ensuring you stay healthy and energised.

Understanding Blood Sugar and Fasting

When we eat, our body breaks down food into glucose (sugar), which provides energy. Insulin, a hormone produced by the pancreas, helps cells absorb this glucose. During fasting, since no food is consumed, the body relies on stored glucose (glycogen) and fat for energy.

For people with diabetes or insulin resistance, this process may not work smoothly, leading to:

Hypoglycemia (Low Blood Sugar): Weakness, dizziness, sweating, confusion. Hyperglycemia (High Blood Sugar): Excessive thirst, frequent urination, fatigue.

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Tips to Maintain Healthy Blood Sugar While Fasting

1. Pre-Fasting Preparation

Follow the instructions below for pre-fasting preparation:

Consult Your Doctor: If you have diabetes, check if fasting is safe for you. Your doctor may adjust medications or insulin doses.

Monitor Blood Sugar Regularly: Keep a glucometer handy to track levels before, during, and after fasting.

Stay Hydrated: Drink plenty of water during non-fasting hours to prevent dehydration, which can affect blood sugar.

2. Choose the Right Foods

Follow the steps below for choosing the right food

During Non-Fasting Hours (Suhoor/Pre-Fast Meal):

  1. Complex Carbohydrates: Oats, whole wheat bread, brown rice, and quinoa release energy slowly.

  2. High-Fibre Foods: Vegetables, lentils, and beans help stabilise blood sugar.

  3. Healthy Fats & Proteins: Eggs, nuts, yoghurt, and lean meats keep you full longer.

  4. Avoid Sugary & Processed Foods: White bread, sweets, and fried foods cause rapid sugar spikes and crashes.

Breaking the Fast (Iftar/Post-Fast Meal):

  1. Start with Water & Dates: Dates provide quick energy but consume in moderation (1-2 dates).

  2. Include Protein & Fibre: Grilled chicken, fish, salads, and whole grains help balance blood sugar.

  3. Limit Sweets & Fried Foods: Opt for fruits like apples or berries instead of sugary desserts.

3. Stay Active (But Avoid Overexertion)

  • Light exercises like walking or stretching can help regulate blood sugar.

  • Avoid intense workouts during fasting hours to prevent low blood sugar.

4. Recognise Warning Signs

  • Low Blood Sugar (Below 70 mg/dL): Dizziness, sweating, shakiness—break the fast immediately with juice or glucose tablets.

  • High Blood Sugar (Above 200 mg/dL): Extreme thirst, fatigue—consult a doctor if levels remain high.

5. Break the Fast if Necessary

Your health comes first. If you feel unwell, it’s okay to stop fasting and seek medical advice.

When to Seek Medical Help

If you experience:

  • Severe dizziness or fainting

  • Persistent high/low blood sugar

  • Extreme fatigue or confusion

Final Thoughts

Fasting can be safe with proper planning, especially for those managing diabetes. Focus on balanced meals, hydration, and regular blood sugar checks. Always prioritise your health and consult a doctor if needed.

Consult a Top Diabetic doctor

Dr. B Shilpa Naidu, General Physician/ Internal Medicine Specialist

Dr. B Shilpa Naidu

General Physician/ Internal Medicine Specialist

9 Years • MBBS, MD GENERAL MEDICINE

Bengaluru

Apollo Medical Center, Marathahalli, Bengaluru

recommendation

85%

(50+ Patients)

650

65 Cashback

Dr. Arthi S, Family Physician

Dr. Arthi S

Family Physician

3 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Bhaskar Mukhopadhyay, Diabetologist

Dr. Bhaskar Mukhopadhyay

Diabetologist

20 Years • MBBS DNB RCGP PGCC

Kolkata

MEDICURE, Kolkata

625

Dr Bhargav Vuppumalla, General Physician/ Internal Medicine Specialist

Dr Bhargav Vuppumalla

General Physician/ Internal Medicine Specialist

5 Years • MBBS MD GENERAL MEDICINE

Bengaluru

Apollo Medical Center, Marathahalli, Bengaluru

550

83 Cashback

Dr Venkata Naga Sai Tribhushan Rambhatla, General Physician

Dr Venkata Naga Sai Tribhushan Rambhatla

General Physician

3 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Consult a Top Diabetic doctor

Dr. B Shilpa Naidu, General Physician/ Internal Medicine Specialist

Dr. B Shilpa Naidu

General Physician/ Internal Medicine Specialist

9 Years • MBBS, MD GENERAL MEDICINE

Bengaluru

Apollo Medical Center, Marathahalli, Bengaluru

recommendation

85%

(50+ Patients)

650

65 Cashback

Dr. Arthi S, Family Physician

Dr. Arthi S

Family Physician

3 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Bhaskar Mukhopadhyay, Diabetologist

Dr. Bhaskar Mukhopadhyay

Diabetologist

20 Years • MBBS DNB RCGP PGCC

Kolkata

MEDICURE, Kolkata

625

Dr Bhargav Vuppumalla, General Physician/ Internal Medicine Specialist

Dr Bhargav Vuppumalla

General Physician/ Internal Medicine Specialist

5 Years • MBBS MD GENERAL MEDICINE

Bengaluru

Apollo Medical Center, Marathahalli, Bengaluru

550

83 Cashback

Dr Venkata Naga Sai Tribhushan Rambhatla, General Physician

Dr Venkata Naga Sai Tribhushan Rambhatla

General Physician

3 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

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