PROBLEM OF KIDNEY DAMAGE AND DIABETES TO RAMADAN FASTING PEOPLE
ASSEMBLED BY MALLAM ABBA
ABANA, KUBWA, ABUJA, NIGERIA
https://web.facebook.com/abba.abana
Praise be to Allaah; we seek His help and
His forgiveness. We seek refuge with Allaah from the evil of our own souls and
from our bad deeds. Whomsoever Allaah guides will never be led astray, and
whomsoever Allaah leaves astray, no one can guide. I bear witness
that there is no god but Allaah, and I bear witness that Muhammad (Sallalhu alaihi Wasalam) is
His slave and Messenger.
FASTING- SICKNESS OF RAMADAN FASTING PEOPLE
It is prescribed for sick people not to fast in Ramadaan, if fasting will
cause harm or make the sickness worse, or if they need treatment during the day
in the form of medicine or pills that must be swallowed, because Allaah says
(interpretation of the meaning):
“and whoever is ill or on a journey, the same
number [of days which one did not observe Sawm (fasts) must be made up] from
other days”[holy Quran chapter al-Baqarah 2:185].
And the Prophet (peace and blessings of Allaah be upon him) said: “Allaah
loves people to avail themselves of His concessions (rukhsah) just as He hates
them to commit sin.” According to another version, “As He loves His commands to
be obeyed.”
It is not permissible for you to pay the fidyah in cash, rather you have
to give food, because Allaah says (interpretation of the meaning): “And as for those who can fast with
difficulty, (e.g. an old man), they have (a choice either to fast or) to feed a
Miskeen (poor person) (for every day)”[ holy Quran chapter al-Baqarah 2:184]
So you have to look for poor people so that you can do what is required
of you, or give money to someone who can buy food and make sure it reaches the
poor on your behalf.
Shaykh Ibn ‘Uthaymeen said in Fataawa
al-Siyaam (p.111):
It is essential to note that the sick may be divided into two
categories:
1 – Those for whom there is the hope of recovery, such as those with
temporary sickness from which there is the hope of recovery. In this case the
ruling is as Allaah says (interpretation of the meaning): “but if any of you is ill or on a journey,
the same number (should be made up) from other days” [holy Quran chapter al-Baqarah
2:184]. All they have to do is wait until they are better, then fast. If
it so happens that the sickness continues and the person dies before
recovering, then there is no sin on him, because Allaah has only enjoined him
to make it up from other days, but he died before those other days came. This
is like a person who dies in Sha’baan before Ramadaan begins – so it should not
be made up on his behalf.
2 – Cases where sickness is ongoing, such as cancer – (Allaah forbid) –
kidney disease, diabetes and similar chronic diseases where there is no hope of
recovery. These people are allowed not to fast in Ramadaan, but they have to
feed one poor person for each day, like old men and women who are unable to
fast, so they may not fast and should feed one poor person for each day. The
evidence for that in the Qur’aan is the verse in which Allaah says
(interpretation of the meaning): “And
as for those who can fast with difficulty, (e.g. an old man), they have (a
choice either to fast or) to feed a Miskeen (poor person) (for every day)” [holy
Quran chapter al-Baqarah 2:184].
FEEDING OR FIDYA:
With regard to the manner of feeding, one has the choice between giving
each poor person half a saa’ of food such as rice and the like (i.e.,
approximately one and a half kilograms) or making food and inviting the poor to
eat.
Al-Bukhaari said: As for an old man who is unable to fast, after Anas
grew old, for one or two years he fed a poor person with bread and meat and he
did not fast. End quote.
Shaykh Ibn Baaz was asked about an elderly woman who was unable to fast –
what should she do?
He replied: She should feed one poor person for each day, giving
half a saa’ of the local staple food, such as dates, rice, etc, which is
equivalent to approximately one and a half kilograms. This was stated by a
number of the companions of the Prophet (peace and blessings of Allaah be upon
him), such as Ibn ‘Abbaas (may Allaah be pleased with him). If she is poor and
is unable to feed a poor person, then she does not have to do anything. This
expiation may be given to one or more people at the beginning of the month or
in the middle or at the end. And Allaah is the Source of strength. End
quote. Majmoo’ Fataawa Ibn Baaz
(15/203).
Shaykh Ibn ‘Uthaymeen said in Fataawa
al-Siyaam (p. 111): The sick person who has an ongoing sickness,
and elderly people, both male and female, who are unable to fast, must feed one
poor person for each day, whether that is by giving this food to the poor or by
inviting the same number of poor people as days in the month to a meal, as Anas
ibn Maalik (may Allaah be pleased with him) used to do when he grew old. He
would gather together thirty poor people and that was instead of fasting for a
month.
The Standing Committee (11/164) was asked about the giving of food by one
who is unable to fast in Ramadaan such as old men, old women and the incurably
sick.
They replied:
If a person is unable to fast in Ramadaan because of old age, such as
elderly men and women, or it is very difficult for them to fast, then they are
allowed not to fast, but they have to feed one poor person for each day, giving
half a saa’ of wheat, dates or rice etc, the same as he gives to his own
family. The same applies to a sick person who is unable to fast or for whom it
is very difficult to fast, and there is no hope of recovery for him, because
Allaah says (interpretation of the meaning):
1) “Allaah
burdens not a person beyond his scope” [holy Quran chapter al-Baqarah 2:286].
2) “and
[Allaah] has not laid upon you in religion any hardship”[ holy Quran chapter al-Hajj
22:78].
3) ““And
as for those who can fast with difficulty, (e.g. an old man), they have (a
choice either to fast or) to feed a Miskeen (poor person) (for every day)””[ holy
Quran chapter al-Baqarah 2:184].
(Fatwa of Shaykh Ibn Baaz (may Allaah have mercy on him), from Fataawa Islamiyyah, vol. 2, p.
139)
Sickness Is Of
Various Kinds:
1 – That which does not affect the fast, such as a light cold or mild
headache or toothache, and the like. In this case it is not permissible to
break the fast, even though some of the scholars permitted that because of the
aayah (interpretation of the meaning): “and whoever is ill…”[ holy Quran chapter al-Baqarah 2:185] .
But we say that this ruling is based on a reason, which is that not
fasting is easier. If that is the case, then we would say that not fasting is
better, but if fasting does not have an effect on him then it is not
permissible to break the fast, and he has to fast.
2 – If fasting is difficult for the sick person, but it does not harm
him, then it is makrooh for him to fast and it is Sunnah for him to break his
fast.
3 – If fasting is difficult for him and will cause him harm, such as a
man who has kidney disease or diabetes and similar cases where fasting will
cause harm. In this case fasting is haraam. Hence we may see that some
mujtahids and sick people make a mistake when fasting is difficult for them and
may harm them, but they refuse to break their fast. We say that they are
mistaken because they refuse to accept the kindness of Allaah and the
concession that He has given to them, and they are harming themselves, although
Allaah says (interpretation of the meaning): “And do not kill yourselves”[al-Nisa’ 4:29]. al-Sharh al-Mumti’ by Shaykh Ibn
‘Uthaymeen, vol. 6, 352-254. REFERENCE Sheikh Muhammed Salih Al-Munajjid
KIDNETY AND DIABETES DISEASES FOR FASTING PEOPLE
Healthy kidneys remove wastes and
excess fluid from the blood. Blood and urine tests show how well the kidneys
are doing their job and how quickly body wastes are being removed. Urine
tests can also detect whether the kidneys are leaking abnormal amounts of
protein, a sign of kidney damage. Here's a quick guide to the tests used to
measure kidney function.
KIDNEY - SERUM CREATININE
Creatinine is a waste
product that comes from the normal wear and tear on muscles of the body.
Creatinine levels in the blood can vary depending on age, race and body size.
A creatinine level of greater
than 1.2 for women and greater than 1.4 for men may be an early sign that the
kidneys are not working properly. As kidney disease progresses, the level of
creatinine in the blood rises.
WHAT IS DIABETES?
(http://www.medicinenet.com/diabetes_mellitus/article.htm)
Diabetes mellitus is a group of metabolic diseases characterized by high
blood sugar (glucose) levels that result from defects in insulin secretion, or
its action, or both. Diabetes mellitus, commonly referred to as diabetes (as it
will be in this article) was first identified as a disease associated with
"sweet urine," and excessive muscle loss in the ancient world.
Elevated levels of blood glucose (hyperglycemia) lead to spillage of glucose
into the urine, hence the term sweet urine.
Normally, blood glucose levels are tightly controlled by insulin, a hormone
produced by the pancreas. Insulin lowers the blood glucose level. When the
blood glucose elevates (for example, after eating food), insulin is released
from the pancreas to normalize the glucose level by promoting the uptake of
glucose into body cells. In patients with diabetes, the absence of insufficient
production of or lack of response to insulin causes hyperglycemia. Diabetes is
a chronic medical condition, meaning that although it can be controlled, it
lasts a lifetime.
Symptoms of any type of diabetes are related to high
blood and urine glucose levels and include:
1) frequent
infections,
2) nausea,
3) vomiting, and
4) blurred vision.
5) hunger,
6) dehydration,
7) weight loss or
gain,
8) fatigue,
9) dry mouth,
10) slow-healing
wounds, cuts, or sores,
11) itching skin,
and
12) increased
susceptibility to infections.
Diabetes type 1 and type 2 definition and facts
1)
Diabetes is a chronic condition associated with
abnormally high levels of sugar (glucose) in the blood. Insulin produced by the
pancreas lowers blood glucose. Absence or insufficient production of insulin,
or an inability of the body to properly use insulin causes diabetes.
2)
The two types of diabetes are referred to as type 1 and
type 2. Former names for these conditions were insulin-dependent and
non-insulin-dependent diabetes, or juvenile onset and adult onset diabetes.
3)
Symptoms of type 1 and type 2 diabetes include
a.
increased urine output,
b.
excessive thirst,
c.
weight loss,
d.
hunger,
e.
fatigue,
f.
skin problems
g.
slow healing wounds,
h.
yeast infections, and
i.
tingling or numbness in the feet or toes.
4)
Some of the risk factors for getting diabetes include
being overweight or obese, leading a sedentary lifestyle, a family history of
diabetes, hypertension (high blood pressure), and low levels of the
"good" cholesterol (HDL) and elevated levels of triglycerides in the
blood.
5)
If you think you may have prediabetes or diabetes contact
a health-care professional.
WHAT ARE THE COMPLICATIONS OF
DIABETES? ((http://www.webmd.com/diabetes/features/three-medical-tests-for-diabetes-patients#1)
Hemoglobin A1c Test (HA1c)
A simple blood test, the A1c (your doctor may call it "glycosylated hemoglobin") is done on a sample of blood taken from a finger-stick or from a small vial of it drawn from your arm. Not to be confused with the daily at-home monitoring that allows some people with diabetes to measure their blood sugars in the moment, the A1c test paints a picture of your average blood sugar level for the past 3 months.
If you can keep your hemoglobin A1c in the range of about 7% or less, you’re much less likely to have complications in your EYES, your KIDNEYS, and your nerves.
"DIABETES damages every BLOOD vessel in your body, including the ones in your EYES".
"Similar damage can also occur in your HEART, your head, and your KIDNEYS.
But if you take care of yourself -- if you control your BLOOD SUGAR, blood CHOLESTEROL, and BLOOD PRESSURE -- the chances of bad things happening to you are very low."
SUMMARY
DAWAH scholars to advise those with kidney disease, diabetes and similar chronic diseases to obtain health facts from reputable medical doctors and medical consultants to save life because it is prescribed for sick people not to fast in Ramadaan, if fasting will cause harm or make the sickness worse.
a)
Cases where sickness is ongoing, such as cancer – (Allaah forbid) –
kidney disease, diabetes and similar chronic diseases where there is no hope of
recovery. These people are allowed not to fast in Ramadaan.
b) They (kidney disease, diabetes
and similar chronic diseases) have to feed one poor person for each day, like
old men and women who are unable to fast, so they may not fast and should feed
one poor person for each day.
c) They are not permitted to pay
the fidyah in cash, rather they should give food to feed a Miskeen (poor person) (for every
day)”[ holy Quran chapter al-Baqarah 2:184].
d) Those for whom there is the
hope of recovery, such as those with temporary sickness from which there is the
hope of recovery, they better fast after ramadan or wait until they are better,
then fast.
e) fidya - feeding, one has the choice between giving each poor person half a saa’
of food such as rice and the like (i.e., approximately one and a half
kilograms) or making food and inviting the poor to eat.
f) On Kidney, A Creatinine test is
required to know the level of greater than 1.2 for women and greater than 1.4
for men. This shows early sign that the kidneys are not working properly. Fasting
may worsen health without frequent fluids.
g)
Diabetes- If you can keep your hemoglobin A1c
in the range of about 7% or less, you’re much less likely to have complications
in your EYES, your KIDNEYS, and your nerves. Fasting may worsen health.
And Allaah knows best.
Wonderful Post! Keep up the good writing on diabetes
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