Impact of Ramadan Fasting on Metabolic Control in Children and Adolescents with Type 1 Diabetes in Tabuk city, Saudi Arabia

Aim/Hypothesis: Children and adolescents with type 1 diabetes mellitus are often motivated to fast during Ramadan despite the challenges multiple risks. This study aimed demonstrate impact of fasting on metabolic control in children Tabuk city. Methods: prospective cross-sectional enrolled aged 11–18 years who chose 1442/2021 (Hijri/Georgian year, 30 days). The consisted three stages: assessment planning before Ramadan, daily advice communication one month after Ramadan. Details about weight, insulin dose, HbA1c, home glucose records, monitoring (GM) were recorded. Results: Among 26 patients, 65% female (35% male); 69% completed (fasting group) 31% did not (broke-fasting group). In group, 88.9% used flash GM, whereas broke-fasting 11.1% self-GM. records Iftar (sunset) significantly different between groups (p < 0.01). Conclusion: Fasting is possible. Pre-Ramadan management has a significant control; however, large-scale population-based studies across country required further validate these results.