Background: The last epidemiological study regarding diabetes in Libya in year 2009 is estimated to reach 16.4%, This study is the up to date study regarding diabetes care during Ramadan in Tripoli.
Study design: cross section study. Material and method: we interviewed 300 diabetic patient at outpatient Clinic in Tripoli Eiabetes and Endocrine Hospital for the frequency, the Incidence of complication of fasting and diabetic care during fasting Ramadan, the data was collected 4week after Eid Elifitr 1434 Hijri (2013) in structural questionnaire after a verbal consent. Collected data: coded and spss software used for analysis. Results: from total 300 Libyan diabetic patients 62% were females, 71.3% were type 2 diabetes. Mean age was 51.1±15.4 years, and mean duration of diabetes was 8.7±6.9 years, 85.3% had their HBA1C checked With last three month, mean HBA1C 8.9±3.1%,73% were complete fasted 29 days , hyper-hypoglycaemia at day time was the most commonly reported Complication especially during the 4th week of fasting, there is no significant difference between types of diabetes and gender in self monitoring of blood sugar, late sahour, preramadan education ,changes In dose of treatment(p> 0.05). Conclusion: Most of diabetic patients in Libya mange to fast during Ramadan. Recommendation: pre Ramadan diabetic education is needed to avoid the serious complication.