Inclusion Criteria:  DM type 1 Age > 14 years Diagnosis of type 1 DM of more than 6 months. Committed to do SMBG or on CGM On Multiple Daily Injections or insulin pumps On carbohydrate counting for meal dosing Have previously fasted Ramadan Are willing to fast this year Well educated about requirements for fasting Ramadan  Exclusion Criteria:  Cognitive impairment or learning disability Renal and hepatic impairment Adrenal insufficiency Pregnancy Alcohol consumption Any diagnosed psychiatric disease