Factors associated with hypoglycemic or hyperglycemic events during Ramadan among persons with diabetes in Qatar
Authors' conclusion
The findings underscore the importance of structured pre-Ramadan risk assessment, patient-centered education, close and rigorous follow-up and individualized treatment adjustment-particularly for high-risk groups-to optimize safety and enhance the overall Ramadan experience among persons with diabetes.
Study context
- Population
- Patients with T1D or T2D attending Qatar Diabetes Association diabetes education or dietetic clinics during Ramadan, regardless of fasting intention; pre-diabetes or GDM excluded
- Participants
- 374 patients
- Outcome
- (1) Any hypoglycemic (<70 mg/dL) or hyperglycemic (>250 mg/dL) event and (2) any such events during fasting hours, based on patient-recorded blood glucose readings
- Follow-up
- During Ramadan
Methodological detailsroutinely collected data, three Ramadan seasons (2022-2024), generalized estimating equation logistic regression, complete-case analysis, Missing data <5%, 95.5% of observations from patients with T2D; 43.3% reflected longer diabetes duration
- Routinely collected data
- Three Ramadan seasons (2022-2024)
- Generalized estimating equation logistic regression
- Complete-case analysis
- Missing data <5%
- 95.5% of observations from patients with T2D; 43.3% reflected longer diabetes duration
Main finding
As reported in the abstract
Hypoglycemia or hyperglycemia at any time during Ramadan
- Higher adjusted odds with longer diabetes duration, high IDF-Diabetes and Ramadan risk score, fasting plan discussed with a physician, use of medications known to increase hypoglycemia risk, and use of CGM devices
- During fasting hours: higher odds with T1D and with a higher daily number of recorded blood glucose readings
- Adjusted ORs
Observational data: associations, not effects.
Original publication
Factors associated with hypoglycemic or hyperglycemic events during Ramadan among persons with diabetes in Qatar. BMJ Open Diabetes Res Care. Published 11 June 2026. doi:10.
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