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SESK: Stuff Everyone Should Know · sesk.info/diab-religious-fast-planning

What should happen before a person with diabetes begins a religious fast?

Get a prefast risk assessment with the care team.

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Why: Fasting can change blood sugar and raise the risk of lows or highs. ADA recommends a prefast risk assessment and plan made well ahead with the care team.

Huh, didn't know that: ADA points to a risk-scoring tool from the IDF and the Diabetes and Ramadan International Alliance.

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Why did the calendar plan ahead? The fast date was approaching quickly.
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References

Answer: Get a prefast risk assessment. Fasting can change blood sugar and raise the risk of lows or highs. ADA recommends a prefast risk assessment and plan made well ahead with the care team.

  1. ADA Standards of Care 2026, Section 5 pmc.ncbi.nlm.nih.gov/articles/PMC12690188
    Use the updated International Diabetes Federation along with Diabetes and Ramadan International Alliance comprehensive prefasting risk assessment to generate a risk score for the safety of religious fasting.
    Checked 2026-10-09.

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