DOHA: The Action on Diabetes partnership (AoD) has advised diabetics going to perform Haj to follow certain guidelines.
Before leaving for Haj they should consult their physician. Most diabetics above 40 may have to undergo a cardiography before travelling to be sure they are fit for the journey. A diabetic with an unstable health condition is advised to defer travel until their heath condition is stable. A diabetic who is subject to fits is advised not to travel unless their condition becomes more stable.
Diabetic performing Haj should carry a card in Arabic and English containing a detailed diagnosis of their condition, medication, dosage, address and telephone number of close relative/friend in case of complications while away.
After reaching Makkah, they should avoid all open places that make them come in direct contact with the sun to avoid sunstroke. While performing Haj rituals, they should use an umbrella for shade. Walking barefoot should be avoided when possible. The presence of loss of pain sensation in the feet (neuropathy) due to diabetes is hazardous as the feet can be severely burnt without the individual being aware of it, leading to a high risk of serious infection. Diabetics should perform the Haj pillars (Tawaf and Saii) during cooler hours (at night).
It is important that they consume a large amount of water at regular intervals throughout the day. They must carry sweets, sugar cubes or dates to eat when their blood sugar drops. They should always be accompanied by a person who is aware of their condition and can intervene if needed. To avoid hypoglycaemia it is important to test blood glucose and urine ketones frequently during Haj. Diabetics should not fast. If they have to, then they should do so after returning home.
The Peninsula
