The Choice of Insulin Type and Regimen for Adolescents with Type 1 Diabetes during Ramadan Fasting: A Continuing Debate

Abstract

The intertwined complexity of type 1 diabetes (T1D) and the ampli fi cation of its associated symptoms during Ramadan fasting inevitably imposes a challenge in the appropriate apportionment of insulin. Based on clinical experience, different recommendations on adjusting the type, dose, and timing of insulin in adults have been suggested. 1 However, clear evidence-based guidelines on insulin adjustment for children and adolescents with T1D are lacking