DISTRICT health chiefs are urging diabetics to 'fast safely' during Ramadan.

Bradford district and Craven clinical commissioning groups (CCGs) say most people with the condition can still fast, but should take extra care.

The fasting between sunrise and sunset will mean many people are not eating or drinking for up to 19 hours.

Dr Junaid Azam, a GP and clinical lead for diabetes at the CCGs, said: "Most people who are diabetic can fast without a problem during Ramadan as long as they take care of themselves and know the warning signs if their health begins to suffer.

"However, people who have severe diabetes – such as patients on insulin – or those with additional health conditions should seek advice from their healthcare professional, such as their practice nurse, before beginning their fast."

Advice to diabetics intending to fast includes:

* Ensure you're aware of the differences this will mean if you are taking insulin; less insulin will be needed on a morning before the start of the fast

* Eat more slowly-absorbed food such as basmati rice, dhal and fruit and vegetables in your meal before beginning your fast

* Try to eat just before sunrise

* Make sure you only have small quantities of food when breaking your fast and avoid eating sweet or fatty foods

* Check your blood glucose levels more often than you would when not fasting

* Ensure you drink plenty of sugar-free and decaffeinated fluids at the end of your fast to avoid becoming dehydrated

For more guidance, visit bradforddistrictsccg.nhs.uk or diabetes.org.uk/ramadan.