Fasting during the month of Ramadan entails abstaining from eating, drinking, or taking oral medications from dawn to sunset for 30 days. It is estimated that there are over 150 million Muslims with diabetes worldwide, therefore the topic of addressing safe practice for people with diabetes who fast in Ramadan is relevant to a wide range of physicians, nurses, and dietitians around the world. Fasting results in physiologic and metabolic alterations that warrants several considerations, in order to have a safer Ramadan for people with diabetes.

Learning outcomes:

• who can fast and who is exempted from fasting,
• what medications should be modified,
• dietary recommendations,
• exercise recommendations, and monitoring of glucose during fasting.