Fasting & feasting during Ramadan in diabetes patients is associated with increased risk of complications such as hypoglycemia, hyperglycemia, ketoacidosis etc. Pre-Ramadan patient risk assessment & structured counselling helps to manage diabetes in patients who observe fast during Ramadan. This presentation focuses on key components of Ramadan focused educational program, risk stratification, dietary & exercise advise, pharmacological management & post-Ramadan follow-up.