Ramadan Diurnal Intermittent Fasting in Patients with Diabetes: Assessment of Knowledge, Practices, Risk of Complications, and Impact of Pre-Ramadan Education

Evaluate diabetic patients’ knowledge, practices, and the prevalence of complications during Ramadan fasting (RF) before and after an education program. We conducted a prospective study including 140 consecutive diabetic patients (DP) who intended to observe RF in 2023. Patients underwent a questionnaire and received pre-Ramadan education (PRE) according to the IDF-DAR 2021 recommendations. Practices and outcomes (hypoglycemia, hyperglycemia, and cardiovascular events) of RF patients were determined during Ramadan 2022 and 2023 using a questionnaire. Participants mean age was 56.0 ± 9.3 years. Their knowledge level was good, average, and poor in 37.1