Other risks for people with diabetes who fast during Ramadan include diabetic ketoacidosis due to a lack of insulin, dehydration due to lack of fluid intake during the fasting period, and orthostatic hypotension in addition to an increased risk of thrombosis due to increased blood viscosity secondary to dehydration. Only 62% of those with T2DM in the "EIPDAR" study reported receiving recommendations from their health care providers. These recommendations should include changes in lifestyle (diet and physical activity) and in medication choice and dosage to limit the potential complications of fasting and feasting for this patient population.