Do you typically adjust pump settings for patients with diabetes who are on automated insulin pumps and fasting all day for religious reasons such as Ramadan?   

I would decrease basal rate to 80% if well controlled but if not, continue the same.

Generally, users of AID primarily alert the pump during periods of exercise and for meal carbohydrate intake. The use of automated insulin delivery for T1DM during Ramadan is addressed in the recent Standards of Care 2025 supplement published by the ADA. CGM during fasting has been confirmed in stud...