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DOI: 10.1055/s-0045-1811513
Artificial Intelligence for Diabetes Care during Ramadan Fasting: A Narrative Review
Funding and Sponsorship None.

Abstract
Background
Ramadan fasting poses unique challenges for individuals with diabetes, particularly regarding glycemic control and hypoglycemia risk. Artificial intelligence (AI) technologies are emerging as tools to support safe and individualized diabetes management during fasting.
Objectives
To explore the current and potential roles of AI in diabetes care during Ramadan, with a focus on clinical applications, patient outcomes, provider training, and barriers to adoption.
Key Findings
AI is integrated into diabetes care through automated insulin delivery systems and machine learning–based risk prediction models. These tools support real-time glucose monitoring, hypoglycemia prevention, and personalized care, especially for high-risk groups. Type 1 diabetes patients benefit from closed-loop systems, whereas type 2 diabetes patients primarily use AI for predictive analytics. Regional resources, digital literacy, cultural perceptions, and provider training influence adoption. Barriers include cost, regulatory gaps, and algorithmic limitations in diverse populations.
Conclusions
AI technologies hold promises for enhancing safety and glycemic outcomes for individuals with diabetes during Ramadan. Their optimal use depends on context-specific strategies, including culturally sensitive education, equitable access, and comprehensive training for providers. Further validation and customization of AI tools for fasting populations are necessary to support the widespread and effective implementation of these tools.
Keywords
artificial intelligence - diabetes - Ramadan fasting - glycemic control - hypoglycemia - closed-loop systems - predictive analytics - culturally competent careUse of AI in Scientific Writing
During the composition of this review, the author used generative AI tools solely for literature discovery and drafting assistance. Specifically, Open Evidence was consulted on June 29, 2025. The author reviewed and edited all substantive content, assuming full accountability for the manuscript's intellectual integrity and originality.
Compliance with Ethical Principles
No ethical approval is required for narrative review articles.
Data Availability Statement
Not applicable.
Publikationsverlauf
Artikel online veröffentlicht:
21. August 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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