Eating particularly large meals at Iftar (consuming more than 1500 calories per meal), which may result in high blood glucose levels after eating and weight gain Thanks for the review and sharing your ideas around a new pricing model. We do reconsider our pricing model from time to time and will consider this when we get to it this year. Can you share which American business lowered their pricing, would be interesting to investigate? A sugary bowl of cereal is high in bad carbs, likely including both processed grains and processed sugar. While it may seem harmless, a bowl of cereal in the morning is a sugary, unhealthy way to start the day. Whole-grain cereals are power houses of nutrients. Salma has been in community diabetes care for over 15 years. She is currently working with the Diabetes Transformation Programme, developing educational resources for BAME populations to improve health literacy and outcomes across the globe. Salma has been featured in many South Asian radio and newspaper interviews, spreading vital health messages to a wider audience. High-carb diets have been connected to a higher risk of chronic disease, decreased physical activity, and obesity. However, carbohydrate quality has been shown to play a more critical role in health than the amount of carbs.

Avoid trans fats: A lot of processed foods contain trans fats, particularly those that contain partially hydrogenated oil . Fats are an important part of eating for optimal health. Some fats are more beneficial for your health than others. Chris works with people with type 1, type 2 and gestational diabetes within the NHS. He is a co-creator of Carbs & Cals and is widely published in academic journals on diabetes and weight management. Chris lectures at national conferences and regularly appears in the media as a respected nutrition specialist. Below we have set out some guidance to help you manage your diabetes during Ramadan, depending on what treatment you currently follow: If you manage your diabetes with diet and exercise Try to include yoghurts or milk-based foods at both Suhoor and Iftar to make sure you get enough calcium. Try plain yoghurts with fruits and nuts or use milk and yoghurts to make milky drinks or smoothies with natural fruits.American Journal of Public Health : “Effects of Soft Drink Consumption on Nutrition and Health: A Systematic Review and Meta-Analysis.” For people with diabetes, there are several potential risks associated with prolonged fasting including:

Reduce intake of salt and salted food, such as dressing, sauces, salted nuts and crisps. Dehydration is a risk due to limited fluid intake during the day, and high salt foods can further increase this risk.If you are planning on fasting and have diabetes, it is important to speak to your diabetes healthcare team as early as possible before Ramadan. For some people with diabetes, fasting can be dangerous or can cause problems for your health. Your diabetes team will be able to advise you on whether it is safe for you to fast. If you are able to fast, please follow the advice below on how to keep good diabetes control throughout the fasting period.

Mayo Clinic: “Cuts of Beef: A Guide to the Leanest Selections,” “Whole Grains: Hearty Options for a Healthy Diet,” “Dietary fats: Know which types to choose." Avoid drinks that contain caffeine such as tea and coffee as these can make you lose more water by going to the toilet more. Avoid sugary drinks such as orange, apple, tropical fruit juice and fizzy drinks. Diet drinks and non-sweetened drinks such as unsweetened labaan drinks are a preferred optionFasting during Ramadan has a number of physical effects on our body. In people with diabetes, these changes and the type of medication being taken to treat the condition can contribute to complications such as hypoglycaemia (low blood glucose) and hyperglycaemia (high blood glucose). Research shows that a starchy, high-carb diet may lead to decreased physical activity, and, ultimately, increased weight gain. Excessive weight gain can lead to obesity.

Sudden kidney failure in patients that are prone to dehydration such as the elderly or those with reduced kidney functionDoughnuts are a popular morning treat, but one chocolate-frosted donut contains just under 30 grams of carbs. Eat more fibre rich foods which are digested slowly; include bran, cereals, whole wheat, grains and seeds, potatoes with skin, vegetables such as green beans, aubergines and almost all fruits. Drink plenty of water at Suhoor and Iftar. It is recommended that you drink at least 8 cups of water between Iftar and Suhoor so that your body may adjust fluid levels in time for the next day. Carbs & Cals was developed by Chris Cheyette BSc (Hons) MSc RD, Senior Diabetes Specialist Dietitian with 20 years experience working in the NHS.