Fasting (Sawn or Roza) during the holy month of Ramadan is one of the five pillars of Islam and commemorates the time when the Holy Quran was revealed to Prophet Muhhammad (PBUH). The month-long (29-30 day) fast is obligatory for all healthy Muslims who have reached puberty. Followers must refrain from eating and drinking between dawn and sunset, and must abstain from using oral medications, sexual activity and smoking.
Fasting is mandatory for all Muslim adults, with certain groups exempt, including some people with chronic conditions like diabetes. Despite potentially being exempt, many people with diabetes choose to fast.
Estimates suggest that there are over 150 million Muslims with diabetes worldwide. Therefore, Ramadan has a major impact on the management of diabetes in the Muslim population. Due to the metabolic nature of the condition, people with diabetes are at particular risk of complications from marked changes in food and liquid intake.
Guidelines for a healthy and safe Ramadan with diabetes