Observing Ramadan fasting is an important pillar of faith and hence holds deep spiritual value for practicing Muslims. However Type 1 diabetes patients are risk stratified as being at high risk, because of the potential for acute complications and hence advised not to fast.

In this commentary, a Type 1 diabetes patient shares her experience of using a Do-It-Yourself Artificial Pancreas System (DIY APS), to manage her diabetes during Ramadan fasting. Her quality of life and ability to self-manage diabetes were greatly enhanced by this open source technology.

DIY APS, a brainchild of the #WeAreNotWaiting community, has the flexibility and customizability that are required for a fasting Type 1 patient; hence these systems are a therapeutic option for patients who choose to fast for religious or personal reasons.

Further research would help regulatory bodies develop a framework and guidance, for health care professionals to support DIY APS users.