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If you don’t eat, your blood sugar levels are lower and medication may drop them even more, which can lead to hypoglycemia. Hypoglycemia can cause you to feel shaky, pass out, or even go into a coma. When you “break” your fast by eating, you may also be more likely to develop too-high blood sugar levels. Diabetes is a chronic disease that causes high levels of glucose in the blood. It is caused by the body’s inability to produce or use insulin correctly. Insulin is a hormone that helps the body use glucose for energy. Without proper insulin production or utilization, glucose can build up in the bloodstream, leading to a variety of health problems.