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CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2015; 03(02): 084-088
DOI: 10.4103/2321-0656.152804
Review Article
NovoNordisk Education Foundation

Managing diabetes during Navratris with special focus on Durga pujas

Deep Dutta
Department of Endocrinology, Post Graduate Institute of Medical Education and Research and Dr. Ram Manohar Lohia Hospital, New Delhi, India
,
Krishna Biswas
1   Department of Endocrinology, Vardhman Mahavir Medical College (VMMC) and Safdarjung Hospital, New Delhi, India
,
Meha Sharma
2   Department of Rheumatology, King George′s Medical University, Lucknow, Uttar Pradesh, India
,
Robin Maskey
3   Department of Internal Medicine, Bishweshwar Prasad Koirala Institute of Health Sciences, Dharan, Nepal
,
Manash P. Baruah
4   Department of Endocrinology, Excel Center Hospitals, Ulubari, Guwahati, Assam, India
,
Mohammod Feroz Amin
5   Department of Endocrinology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders, Dhaka, Bangladesh
› Author Affiliations
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Publication History

Publication Date:
22 November 2018 (online)

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Abstract

Fasting during festivals is a common practice across all religions, believed to be associated with spiritual well-being. No literature is available addressing the challenges associated with blood glucose control in patients with diabetes during the festivals of Navratri and Durga puja, which are associated with both culinary extravagances and ritualistic fasting. Fasting alternating with binge eating can result in severe metabolic alterations, increasing both morbidity and mortality in diabetes. Dietary restraint is central to ensuring adequate glycemic control during Navratris and Durga pujas. Ritualistic fasting and dietary changes should be avoided in patients with poorly controlled diabetes with multiple comorbidities. Sulfonylureas should be avoided in case of prolonged fasting. Fast should be broken whenever blood glucose is < 70mg/dl. Target blood glucose during fasting state is 100-200mg/dl. Increasing awareness among patients, highlighting the need to enjoy festivals responsibly, and promoting healthy diet habits and exercise have an important role in maintaining glycemic control during Navratri and Durga pujas.

Diabetes - Durga puja - fasting - festivals - hypoglycemia - Navratri
 

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