Abstract
Background and aim:
 Ramadan is a holy month for Muslims. Muslims fast off any food, solid or liquid, including medication and smoke. RF can cause many physiological changes in people with diabetes. Therefore, they should have special care and management plan during Ramadan
 Methods
 I searched the following data for the recent publication and clinical recommendation for the physiological and management plans for diabetic patients during RF. Examples: Journal of the Royal Society of Medicine, Diabetes research and clinical practice, The Journal of Clinical Endocrinology and Metabolism, International Journal of Sport Studies for Health, etc.
 Results
 IDF and other guidelines are now acceptable for properly managing diabetic patients during RF.
 Conclusion 
 diabetic patients must be prepared well before RF and given a proper management plan and advice to minimize the risk of complications during fasting. The management plan should be fully integrated with essential educational advice, nutritional consultation, physical activity, and medication dosing personalizing.
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