One of the holiest days of the Jewish year is fast approaching. On September 29, people around the world will celebrate Yom Kippur by participating in a 25-hour fast. For people with diabetes, fasting from sundown to sundown can be challenging, and even dangerous. But with proper planning and precautions, Yom Kippur can be celebrated safely.
Consult Your Doctor
Although fasting is an important part of Yom Kippur, the Torah urges observers to prioritize their health. People are exempt from fasting if doing so puts their health at risk. Prior to beginning your fast, please consult your doctor to discuss your fasting plan and possible risks.Hydrate, Hydrate, Hydrate!
During the fast, you will be limited to a "cheekful" of liquid at a time. For the average person, this is only slightly more than 1 fluid ounce. Avoid caffeinated drinks prior to fasting and drink plenty of water before sundown on September 29th.Test Your Sugars
Keep your One Drop | Chrome handy and be diligent about testing your blood glucose! Checking blood sugar will not break a fast. It is very important to monitor your levels. Be on the lookout for hypoglycemia (BG <70mg/dl). Nothing is more important than your health! If your sugars fall too low, please treat appropriately with glucose tabs and/or other appropriate medical care.Continue to Medicate
The Torah allows people to swallow medicines in tablet, capsule, or liquid form. Please continue to take your medications, including insulin, as needed during your fast. *Talk to your healthcare provider prior to Yom Kippur to discuss appropriate dosage and how your diabetes medicines may need to change during your fast.*Safely Break the Fast
Many people break their fast with bagels, kugel, and other high carb foods. People with diabetes should be very mindful of their first meal. Load up on protein and vegetables rather than carbohydrates to prevent hyperglycemia. As always, test your blood sugar before and after eating and dose your medication (i.e., insulin) appropriately. Here are some delicious, low-carb items to include in your Yom Kippur Break Fast spread:
