Karwa Chauth, celebrated on October 10, 2025, is a sacred festival where married women observe a rigorous fast from sunrise to moonrise for their husband’s long life. However, fasting without food and water all day can pose health challenges, especially for individuals with medical conditions like diabetes and high blood pressure.

Dr. Saket Kant, Senior Consultant Endocrinology at Shri Balaji Action Medical Institute, Delhi, advises that diabetic and hypertensive patients should approach the Karwa Chauth fast with caution. Prolonged fasting can cause blood sugar fluctuations in diabetics, leading to symptoms like dizziness, weakness, confusion, or fainting, especially in those taking insulin or sugar-control medication. Similarly, high blood pressure patients risk dehydration and imbalanced electrolytes, which can cause headaches, fatigue, and increased heart rate.

Precautions for Observing Fast Safely

If blood sugar and blood pressure levels are well-controlled, partial fasting with medical supervision and hydration through sugar-free fluids may be possible. Patients are urged to monitor their bodies closely and break the fast immediately if experiencing dizziness, tremors, or weakness. Avoiding strenuous activity and getting help from family members during the fasting day is advisable.

Recommended Dietary Practices for Sargi and Iftar

• During Sargi (pre-dawn meal), consume protein- and fiber-rich foods for sustained energy.

• Drink plenty of water before sunrise to stay hydrated.

• Upon breaking the fast after moonrise, start with light, digestible items like plain water, fresh juice, oats, and chapati rather than oily, spicy, or sugary foods to avoid sugar spikes and digestive discomfort.

Who Should Avoid Fasting?

Experts recommend that pregnant or breastfeeding women, elderly individuals with health concerns, those with chronic illnesses like heart or kidney disease, or mental health conditions should avoid strict fasting. Consulting a healthcare professional before deciding to fast is crucial.

In summary, while Karwa Chauth is a festival of love and devotion, health should remain a priority. People with diabetes or hypertension should carefully assess risks, follow medical advice, and prioritize their well-being to celebrate safely.