Smartphone‐Based Automated Basal Insulin Titration During Ramadan Fasting: Data From Adults With Type 2 Diabetes in Saudi Arabia
Authors' conclusion
Use of smartphone-based automated basal insulin titration during Ramadan fasting is effective in maintaining FBG levels within target in PWT2D.
Study context
- Population
- Adults with T2D using basal insulin and My Dose Coach (MDC) who fasted during Ramadan 2022–2024, Saudi Arabia, with fasting blood glucose (FBG) data pre-, during and after Ramadan
- Participants
- 106 adults
- Exposure
- Reduced basal insulin dose (RB) vs usual basal insulin dose (UB), with MDC app titration during Ramadan
- Outcome
- Average FBG
- Follow-up
- During Ramadan
Main finding
As reported in the abstract
- Proportion with FBG 70-130 mg/dL was maintained throughout Ramadan in both groups
- RB vs UB: P = 0.14
- RB vs UB: P = 0.13
- RB vs UB: P = 0.07
- RB vs UB: P = 0.11
Observational data: associations, not effects.
Further findings
Average FBG pre-Ramadan
P < 0.01
Average FBG post-Ramadan
P = 0.03
Basal insulin dose (MDC titration), Ramadan week 1 to week 4
- RB: average dose increased from 29 to 33 units
- UB: mean dose increased from 34 to 38 units
Safety
FBG < 70 mg/dL · during Ramadan
- No documented FBG < 70 mg/dL in either group
Original publication
Smartphone‐Based Automated Basal Insulin Titration During Ramadan Fasting: Data From Adults With Type 2 Diabetes in Saudi Arabia. Diabetes Obes Metab. Published 15 June 2026. doi:10.
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