Diabetes UK is recommending that Jewish people with diabetes talk with their rabbi ahead of the three major festivals in the coming weeks. Rosh Hashanah, on September 14-15, and Simchat Torah at the end of Sukkot, on October 6, are both traditionally celebrated by feasting. Both celebrations can be daunting for people with diabetes who want to take part in the festivals but need to manage their condition. But Diabetes UK wants to make it clear that having diabetes doesn’t need to stop people from eating traditional festive foods, and that even sweet foods, honey and alcohol can be enjoyed, just that this needs to be in moderation.
Yom Kippur, which falls on September 23, can also be particularly challenging because it involves a 25-hour fast. Prolonged periods of fasting could cause blood glucose levels to drop too low or rise too high which can be very dangerous for people with diabetes, as can the increased risk of becoming dehydrated. Jewish law states that a person should not put their health at risk in order to fast. However, Diabetes UK urges anyone with diabetes who is keen to fast to discuss this with their healthcare professional and rabbi ahead of the festival so they have time to plan how they can fast safely.
Libby Dowling, Diabetes UK clinical advisor, said: “We want everyone with diabetes to enjoy the upcoming festivals, and that shouldn’t involve denying yourself traditional festive foods. We even have lots of apple recipes on Diabetes UK’s Enjoy Food website which are perfect for this sort of festival.
"The key is to plan and be aware of how a treat may affect your blood glucose levels. Enjoy small amounts of ordinary festive foods and balance this with healthier recipes and snacks.
“If you test your blood glucose levels, make sure that you have your testing kit with you and also some hypo treatments in case you need them, such as kosher Jelly Babies or dextrose tablets.
"The other important thing to remember is to stay active, as this will help you to manage blood glucose levels.
“One or two high blood glucose readings should not affect long-term diabetes control, but people should aim to avoid persistently high readings. Speak with a healthcare professional to find out what is right for you.
“They can also advise you on fasting, and on how to ensure you eat properly either side of the fast if you do decide to do it.
“Also speak with your rabbi so they are aware of your situation.”
For more information speak to your healthcare professional or call the Diabetes UK Careline on 0345 123 2399, or visit diabetes.org.uk/enjoyfood and diabetes.org.uk/fasting