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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. Nov 15, 2025; 16(11): 110007
Published online Nov 15, 2025. doi: 10.4239/wjd.v16.i11.110007
Published online Nov 15, 2025. doi: 10.4239/wjd.v16.i11.110007
Evolution of the risk concept and assessment tools for diabetes during Ramadan fasting: A narrative review
Salem A Beshyah, Department of Endocrinology, Bareen International Hospital, MBZ City MBZ1507, Abu Dhabi, United Arab Emirates
Author contributions: Beshyah SA performed the research, drafting, and revision of the whole manuscript.
Conflict-of-interest statement: The author has no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Salem A Beshyah, PhD, Adjunct Professor, Consultant, MRCP, Department of Endocrinology, Bareen International Hospital, Jabal Sawda’a Street, MBZ City MBZ1507, Abu Dhabi, United Arab Emirates. beshyah@yahoo.com
Received: May 28, 2025
Revised: July 30, 2025
Accepted: September 25, 2025
Published online: November 15, 2025
Processing time: 170 Days and 19 Hours
Revised: July 30, 2025
Accepted: September 25, 2025
Published online: November 15, 2025
Processing time: 170 Days and 19 Hours
Core Tip
Core Tip: Risk assessment is a core value in the management of Muslims with diabetes during Ramadan fasting. The International Diabetes Federation-Diabetes and Ramadan risk stratification tool significantly advances individualized diabetes care during Ramadan. While generally effective, its conservative bias in certain populations and variability in physician scoring suggests the need for standardized training and further research.