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Abstract Background: Annually, many children and adolescents with type 1 diabetes mellitus (T1DM) insist on fasting during Ramadan despite being exempted and despite knowing all the risks. We aimed to assess the risks and metabolic consequences of Ramadan fasting among children and adolescents with T1DM who insist to fast. Methods: During Ramadan 1440/2019 (30 days), 109 children and adolescents with Type I diabetes (aged from 8 to 18 years old), were recruited and divided into two groups; fasting group (n = 76) and nonfasting group (n = 33). Fasters were further subdivided into 3groups: patients with {u2264}10 day fasting (group A), patients with 11{u2013}20day fasting (group B) and patients with 21-30day fasting (group C). Short term diabetes complications were recorded. Changes in weight, HbA1C, fructosamine and lipid profile before and after Ramadan were compared |