Current Medications Select all that apply
Score: 0 points
Low Risk Score 0-2 * Can fast with precautions
Moderate Risk Score 3-5 * Fast with medical supervision
High Risk Score 6-8 * Advised not to fast
Very High Risk Score 9+ * Should not fast

    This calculator uses the IDF-DAR (International Diabetes Federation - Diabetes and Ramadan) risk stratification framework, adapted for general and religious fasting. Each risk factor adds points to a cumulative score:

    Risk Factor Points
    Type 1 Diabetes+3
    Insulin use+3
    Sulfonylurea use+2
    3+ hypo episodes (past 3 months)+3
    1-2 hypo episodes (past 3 months)+1
    HbA1c above 9%+2
    HbA1c below 6% (hypo risk)+1
    Kidney disease (CKD Stage 3+)+2
    Diabetes complications present+1
    SGLT-2 use (DKA risk during fasting)+1
    Heavy physical activity+1

    Note: Pre-diabetes without other complications contributes 0 additional points - it is generally lower risk for fasting.

    ! Medical Disclaimer
    This tool is for educational purposes only and does not constitute medical advice. Fasting decisions should always be made in consultation with your healthcare provider, particularly if you use insulin or medications that carry a hypoglycemia risk. Never stop or adjust medications without medical guidance.