Question of Week | Type 1, Ramadan & Fasting

RS observes Ramadan and fasts from sunrise to sunset. RS is 13 years old, has type 1 diabetes, uses an insulin pump and CGM. RS’s insulin-to-carb ratio is 1:12 and correction is 1:45. Basal settings range from 0.5 -1.2 units an hour.

What would be the best recommendation for RS to keep blood sugars in the target range during Ramadan?

  1. See if RS can get a note from their doctor to allow eating during the day.
  2. Take bolus insulin when RS eats a meal or snack.
  3. Decrease basal insulin rate by 50% during periods of fasting.
  4. Monitor urine ketones at least twice a day.

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