Asalaamu-alaikum,
 
I take medication for Diabetes in order to control my health and avoid complications with other risk factors related to heart, eyes, and other health issues that Diabetes affects. When I take medication but do not eat, I experience hypoglycemia (low blood sugar) which results in sweats, shaking, and a physical need to consume food. It\’s the body\’s natural response requiring sugar immediately in order to continue functioning, so consuming food during a low blood sugar episode is vital for survival. I could take my medications early before Fajr, but there is a chance my sugars may crash during the day. There is also a chance my sugars may remain stable throughout the day. I am confused as to how I should approach Ramadan fasting. 
 
As it pertains to fiqh, is there one alternative preferred over another? – Is it permissible to take my medications before Fajr and fast with intention, but break my fast only if my sugars get too low, or is it permissible to not fast the days of Ramadan and continue taking medications as normal? In short, is it worse to break a fast, or not fast at all?
 
Thank you for taking time to read this, and offering your advice. May Allah (swt) accept your Ramadan and bless you continuously.