Introduction: Diabetic patients are permit to fasting but need to follow appropriate diet regimen, medication adjustment and recommended daily physical activity. Those who do not follow the medical guidance put them in high risk to get acute complication. As patients do not have awareness regarding the importance of abiding the medical guidance, it cause challenge to medical health provider to encounter the problem and to identify the potential risk during fasting period. Objective: To evaluate the level of knowledge, attitude and practice among diabetic patients during Ramadan at Hospital Tengku Ampuan Afzan (HTAA). Methodology: A cross sectional study was conducted, where 62 participants who are Muslim of diabetic patients were involved in this study. Convenience sampling was applied and the study was conducted in HTAA including medical ward, orthopedic ward, surgical ward, eye ward and diabetic clinic. This study adopted questionnaire from previous study and there are 4 parts of the questions which are regarding socio-demographic data, knowledge, attitude and practice. Result: There were significant association between the total score of attitude (p-value is 0.008) and practice (p-value is 0.049) among diabetic patients during Ramadan with their level of education background where those participants who come from tertiary school demonstrate better attitude and practice. Conclusion: There is significant association between level of attitude and practice with level of education among the participants. It implies that those have higher education background possessed better attitude and practice management of diabetic fasting during Ramadan.

Keywords: Knowledge, Attitude, Practice, Diabetic, fasting, Ramadan