Type 1 diabetes

A prospective evaluation of attitudes, behaviors, and clinical outcomes among Jordanian children and adolescents with type 1 diabetes who fasted during Ramadan: a comparison of the 2021 and 2026 IDF-DAR risk scores

Diabetes Res Clin PractPublished Prospective observational cohort study

Authors' conclusion

With structured pre-Ramadan education, most participants were able to fast safely for the majority of Ramadan regardless of their assigned risk category. Suhoor at a later time was associated with more completed fasting days.

Study context

Population
Children and adolescents with T1D who fasted during Ramadan 2025 after a pre-Ramadan structured educational program, Jordan University Hospital; 65.2% female, median age 14.0 (IQR 12.4–16.0) years
Participants
46 children
Outcome
Ability to fast (number of completed fasting days) and its correlation with IDF-DAR risk stratification scores
Follow-up
Ramadan 2025
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Days fully fasted

Median days fully fasted (IQR 17.0-29.0)

23.5

Non-fasting days due to diabetes-related causes, of 1380 fasting days

136

Non-fasting days due to non-diabetes-related causes

203

Observational data: associations, not effects.

Original publication

A prospective evaluation of attitudes, behaviors, and clinical outcomes among Jordanian children and adolescents with type 1 diabetes who fasted during Ramadan: a comparison of the 2021 and 2026 IDF-DAR risk scores. Diabetes Res Clin Pract. Published 3 April 2026. doi:10.1016/j.diabres.2026.113242

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