Ramzan 2012How blessed you are to be a Muslim and able topractice self control via a basic human need likefood and drink, while receiving the blessings ofGod at the same time and improving your health. Ramzan Mubarak.
Quran 2:183To those who believe, fasting is decreed uponyou as fasting was decreed upon those beforeyou so that you may become righteous.
Quran 2:184A limited number of days. For those whoeveramong you is ill or on a journey - an equalnumber of days from other days.And upon those who are able to fast, but withhardship - a ransom of feeding a poor person foreach day they do not fast. And whoevervolunteers to give more - it is better for him.But to fast is best for you, if you only knew it.
Quran 2:185The month of Ramadan in which the Quran wasrevealed, a guidance for the people and clearproofs of guidance and criterion. So whoeversees the month, let him fast it; and whoever is illor on a journey - then an equal number of otherdays. Allah intends for you ease and does notintend for you hardship and for you to completethe period and to glorify Allah for that which Hehas guided you. And perhaps you will begrateful.
Six Pillars of FaithBelieving inThe uniqueness of GodThe AngelsThe Revealed Books of GodThe Messengers of GodThe Day of Judgment, Resurrection, andAfterlifeDivine Destiny including human free-will
Ramadan & Fasting Five Pillars of IslamTestimony of FaithDaily 5 Time PrayerFasting during RamadanAlms-giving (Obligatory AnnualCharity)The Pilgrimage to Mecca
The Month RAMADAN The ninth month of the Islamic lunarcalendar. Muslims are required to fast from dawnto sunset.
The Requirements Abstaining from Food Drink Intimate Intercourses not only to restrain from food and drink, fasting is to refrain from ob Hadith (Prophetic Tradition)
The Four Dimensions of RamadanThe behavioral dimensionThe religious dimensionThe social dimensionThe spiritual dimension
The behavioral dimension.Fasting in Ramadanis a means oflearning self-control
The religious dimension. Fasting is a way of experiencing hunger and thus learning sincere thankfulness and appreciation for all of Gods bounties.
The social dimension.Ramadan is a time for developing empathy/sympathy for the lessfortunate and generosityPeople are more generous, more cordial, and more ready than atother times of the year to do good and charitable work.
The spiritual dimension.Fasting during Ramadan is an act ofobedience.It leads to sincere thankfulness, which is theheart of worship.It also empowers our spiritual side over ourphysical tendencies.
Ramadan is about…Ramadan is a time ofintensive worship and devotion to God,of reading The Qur`an and Reflectingon its teachings,of comprehensive thanksgiving,giving to charity,practicing self-control and kindness,of training oneself to be a better personspiritually andimproving relationship with others.
ISLAMIslam is the religion that is articulated by Qur’anand the prophet of Hz.Muhammed.Islam started to evolve by the 7th century . In610. At the age of 40, Hz.Muhammad startedreceiving revelations from God.These revelations are sent to Hz.Muhammedfrom God by means of the Angel Gibreel.
Fasting ing, drinking, and sexual intercourse from dawn ezan to dusk ezanelations started to be sent on Ramadan.
Iftar DinnerAt sunset,the family get together and have the fast breakingdinner called ‘iftar’. Iftar Dinner is important for us. Peoplegenerally invite their relatives, neighbours for iftar dinner.Thishelps to improve relations.All of them sit around the table andwait for dusk ezan and there is also Ramadan cannon in somecountries. The purpose of the cannon is to signal the Muslimsthat the daily Ramadan fast is over and the iftar, their long-awaited evening sustenance, is at hand
DateDate is very important for the Islam Food Culture.Date is a fruitwhich mentioned in Quran and it is also healthy fruit.When dusk comes most people prefer eating date.It is the Sunna(the sayings and doings of Mohammed , which form abasis).breaking the fast with olive or date is welcomed.
Iftar StartersIftar Dinner starts with kinds of starters.The most important ones aredate and olive.
Iftar SuggestionsA warm soup for iftar is usually recommendedDrinking sufficient water and juices between Iftar and bedtime isuseful to avoid dehydration and for detoxification of the digestivesystemFor the pre-dawn meal, a milk-based food which is slow-digesting isrecommended. Yoghourts are popular for this meal
Vegetable FoodFor starters vegetables are also recommended however manypeople indulge in heavy fried foods.It is better to start of with light in the iftar so you do notoverwhelm your digestive system.
SaladsSalad and season salads are recommednedduring iftar.
Fruit DessertsFruit desserts are recommeded at after the endof the iftar dinner.Try to avoid junk food with complex chemicalslike titanium dioxide or sodium benzoate.
SahurIt is an Islamic term referring to the meal Sahur, thebig early-morning meal to be eaten before the fastbegins again at sunrise. had early in the morning.
SahurTry to eat food that doesnt digest quickly... like a hotcup of milk with a whole wheat bagel and cheese (itholds up for long before being digested) also forwater, its always good to take watery fruits orvegetable such as watermelon or cucumber andlettuce as the body can use the water longer thansimply a cup of water.
SahurMost experts recommend a light Suhur that mayinclude complex carbohydrates that are found infoods that contain grains and seeds like barley,wheat, oats, millet, semolina, beans, lentils,whole meal flour and unpolished rice
SuggestionsIt is recommended that people should drink plenty ofwater during Suhoor and Iftar, along with a balanceddiet made up of vegetables, fruits, protein, milk,yogurt and some saltine snacks.
SuggestionsOne should also sleep well and have rested beforegoing to work, and wear clean light-weight and loosefitting clothing.
SuggestionsGet a high intake of water during non-fasting hoursto overcome heat stress and replenish the low levelsof water in one’s body during this time.
Social Benefits Of RamadanRamadan help people examine their lives, to remindthemselves of virtues like charity, compassion andforgiveness, and to avoid vices like cupidity, selfishnessand dishonesty People help the poor people.Most of thepeople go to the mosques and they feel themselves closerthe god.Since the focus of Ramadan is to deprive oneself ofworldly things, charity and giving are strongly encouraged.Many Muslims give a portion of their earnings to charity soas to aid the poor and suffering; others purchase food,clothing and gifts for the needy.
Abstract“ Fasting from dawn to dusk in the holy month of Ramadan for healthy adult Muslims has been ordained and physically sick Muslims are exempt from it. However many Muslims with mild to moderate Diabetes, Hypertension and other medical conditions do want to fast. The purpose of this presentation is make some recommendations as to how they can fast safely in light of research on fasting”
Quran 2:183“ O you who believe! Fasting has been prescribed to you as it was prescribed to those before you so that you attain Taqwa (self restraint , God Awareness)”
Who Cannot Fast1. Physically sick ( Quran 2: 184-185)2. Traveler on a journey (above)3. Women during menstruation4. ? Pregnant and lactating women5. pre pubertal children
Physiological Effects of FastingOn Calorie intakeOn fluid /water intakeEffects on – Digestive System - Kidneys - Endocrine glands - Lipid Metabolism - Respiratory system - Neurological System
Uniqueness of Islamic FastingIt is a voluntary undertaking rather than beingordered by a physicianThere is no selective food intake i.e. proteinonly, juice only, fruit only , water only etcThere is no total calorie malnutrition i.e. it not asemi starvation diet.An exercise in self discipline i.e. from constantnibbling , drinking, smoking etcPsychological effect and additional prayer
Effects of Fasting on Carbohydrate Metabolism1. Slight fall in serum Glucose (to 60 mg)2. Serum Insulin decreases due to 13. Serum Glucagon and Growth Hormone increases due to 14. Increase in sympathetic activity5. Increase in liver Cyclic AMP due to 4
CHO Metabolism in RamadanSlight decrease in first week thennormalization by day 20 and some rise in thelast week22% children develop hypoglycemia(BG <40mg/dl)Increase Gluconeogenesis in liver
Fasting and Lipid MetabolismDecrease in both Total Cholesterol andTriglycerides in first few days then rise topre fasting levelsIncrease in HDL-CEffects are variable according to quality andquantity of food consumed at Iftaar andSahur
Endocrine functions in FastingFall in free T3 but rise in rT3Slight fall in total T4 (due to fall in TBG) butnormal freeT4 and TSHTSH response to TRH unchangedSerum Testosterone, LH, FSH may be normalor slightly low but GNRH response is normalPlasma Prolactin and PTH are normal
Renal Function in FastingUrinary volume, osmolality, solute andelectrolyte excretion remain normalSlight increase in BUN (insignificant)Increase in Uric acid (less in Ramadan fastingthan in prolonged fasting)
Other Effects of FastingSlight rise in Bilirubin but no change inSGOT or SGPTFall in Gastric secretionsNo change in Heart rate and BPNo change in Ca+ or ElectrolytesNo change in Hb, blood counts or Fe store
Other Effects of FastingWeight loss of 1.7-3.8 Kg (obese lost moreweight than non obese)Decrease in appetite due to ketosis andincrease in Beta-endorphinsFewer suicide in Ramadan than in othermonths (reported in Jordan)No change in outcome of pregnancy or inbirth weight in those who fasted and thosewho did not (reported in Gambia)
Patients who should not fastDiabetes Mellitus Type 1Chronic Renal Failure including RenalTransplant and NephrolithiasisSevere cardiac and pulmonary conditionsG.I. Bleed and acute ulcersSevere EpilepsySevere Migraine
General advice for those who fastConsult your (Muslim) doctor firstPractice fasting in Shaban firstWith the approval of physician switch toeither long acting or twice daily medicationElderly patients on NSAID should havefrequent monitoring of renal functionsAnticoagulant and Antiepileptic medicationsshould be given at night .
Fasting for NIDDM (ref:3) Benefits of Fasting in RamadanA. Better control of DiabetesB. Better control of HypertensionC. Better control of LipidD. 5-10 lb weight loss Thus Fasting is advised for stable NIDDM
NIDDM- RecommendationsControl your Diabetes for two months prior toRamadan bringing HbA1c to < 8Discontinue Metformin a week before fastDrugs like Actos, Avandia , Glucotol XL are saferthan Diabeta, Amyril , and StarlixContinue Diabetic diet in Iftaar and Sahur
Fasting for those on InsulinConsult your Diabetologist (Muslim) firstDiscontinue Insulin mixtures such as 70/30 ,75/25, or Regular InsulinIf on NPH then reduce the total dose by 20% andtake 2/3 at Iftaar and 1/3 at SahurIf on Lantus then reduce by 20% and take atnight -Titrate by 2 units ( BG 120-140)Take 4-6 units of fast acting Insulin such asNovolog or Humalog before two meals
Monitoring for IDDMFinger stick BG after Iftaar and beforesahurBG if feeling bad (low)Terminate fast if BS below 60 or over 400No exercise before IftaarDrink plenty of water at iftaar and Sahur
Questions from MuslimsFasting and PregnancyFasting and NursingBlood draw during FastingMedications during Fasting-Tablets, inhalers, patches , injectionsExercise / Sports during FastingMouth washes and gums during Fasting
ReferencesAzizi , F et all” Evaluation of blood hormones andconstituents in Ramadan” JIMA, Nov. 1987Soliman , N “ Effects of Fasting during Ramadan”JIMA Nov 1987Athar, Shahid “Management of NIDDM during IslamicFasting in Ramadan :JIMA vol 27 1995Athar , Shahid “Fasting for Medical Patients-suggestedguidelines” Islamic Horizon, May ’85Athar , Shahid “Therapeutic Benefits of RamadanFasting” Islamic Horizon: May’ 84
Some Parting Thoughts“Fasting is for Me and I (Allah) only willreward it” (Hadith Qudsi)“While fasting , if one does not give upfalsehood in words and actions , then Allahhas no need of him giving up food and drink(saying of Prophet Muhammad-pbuh) HAVE A BLESSED RAMADAN
Ramzan MubarakOur websitehttp://Dubai-computer-services.comFor sending ideas on how to make thispresentation better please email@example.comPhone : 971-55-639-8386Skype : khawar.nehal