Question

A 28-year-old man with type 1 diabetes uses a basal-bolus insulin regimen. He asks whether he can choose to fast for cultural reasons. According to Diabetes Canada guidance on fasting, what is the most appropriate response?

Accepted Answer

Provide structured education and individualised insulin dose adjustments to support safer fasting

Answer

Advise against fasting and refuse to adjust insulin

Answer

Switch him to premixed insulin without further counselling

Answer

Tell him to fast only on days when his glucose is above 12 mmol/L

Answer

Stop basal insulin and use bolus insulin only while fasting

Practice question

A 28-year-old man with type 1 diabetes uses a basal-bolus insulin regimen. He asks whether he can choose to fast for cultural reasons. According to Diabetes Canada guidance on fasting, what is the most appropriate response?