رجل عمره ٥٠ سنة مصاب بالسكري، صائم في رمضان، يأخذ جليكلازايد وقت الإفطار. قبل المغرب بساعتين صار يرتجف ويتعرق، وسكره ٥٨. يقول إنه يريد يكمل صيامه لأنه بقي وقت قليل. ما النصيحة الصحيحة؟

A 50-year-old diabetic man fasting in Ramadan takes gliclazide at iftar. Two hours before sunset he is shaky and sweaty with glucose 58. He wants to complete the fast as little time remains. What is the correct advice?

1. Sleep until sunset to feel the symptoms less
2. Break the fast now and treat the low
3. Complete the fast because little time remains
4. Take his medicine dose early before iftar

Answer: B) Break the fast now and treat the low. With glucose below 70 the fast must be broken and hypoglycaemia treated, a permitted exemption; the dose or drug is then reviewed with the doctor.