Winter in Bangladesh presents unique challenges for those living with diabetes. Naturally, during colds, patients with diabetes utilise more calories and remain in good glycaemia. But in Bangladesh, the picture is reversed; here, people consume huge carbohydrate-rich foods in winter time. There are several family festivals, seasonal festivals, and celebrations. All will end up with high blood sugar. On the other hand, many of our patients with diabetes refrain from physical exercise due to cold weather, again risking them to uncontrolled diabetes.

Adequate care and focus during this season are crucial for sustaining good health, avoiding complications, and considering some key points for reflection.

1. Monitor blood sugar regularly: Check your blood sugar levels frequently, as cold weather can affect glucose control.

Keep your glucometer in a warm, dry place to ensure accurate readings.

2. Stay warm and active: Engage in indoor exercises like yoga, light aerobics, or stretching if outdoor activities are less feasible.

Wear layered clothing to stay warm and avoid cold-related stress, which can impact blood sugar levels.

3. Make wise food choices: Incorporate seasonal vegetables like cauliflower, cabbage, spinach, radish, and carrots into your diet for balanced nutrition.

Limit sugary treats commonly enjoyed during winter festivals, and choose lower glycaemic alternatives.

4. Take extra care of your feet: Reduced circulation in cold weather can increase the risk of foot complications.

Keep your feet warm and dry, and inspect them daily for cuts, sores, or signs of infection.

5. Store insulin and medications properly: Protect insulin from freezing by storing it in a temperature-controlled environment to maintain its effectiveness, though this is not a big issue in Bangladesh.

6. Prevent seasonal illness: Colds and flu can raise blood sugar levels. Stay vaccinated, practice good hygiene, and drink plenty of fluids to boost your immunity.

Elderly patients with diabetes are at high risk for pneumonia, stroke, and other cardiovascular diseases during this period.

7. Stay hydrated: Drink adequate water and warm, unsweetened beverages to avoid dehydration, which can impact blood sugar control.

8. Consult your endocrinologist: Winter may require adjustments to your diet, medication, or exercise routine. Regular check-ins with your doctor can help you tailor a plan that works best for you.

By following these tips and making necessary lifestyle adjustments, you can effectively manage diabetes and enjoy a healthy winter season in Bangladesh.

Control your blood sugar and reduce the risk of chronic complications of diabetes.

The writer is the Associate Professor of Department of Endocrinology at Bangabandhu Sheikh Mujib Medical University. E-mail: selimshahjada@gmail.com