Abstract
The performance of the Hajj pilgrimage is a pillar of Islam and is obligatory at least once in the lifetime of every Muslim in good health who can afford to undertake the journey. Hajj creates stressful conditions that require strenuous physical activities which present specific challenges for people with diabetes. A pre-travel consultation with a health professional is highly recommended for people with diabetes. People in poor health should consider the religious dispensation with their doctor to see if the risk of attending the event is too great. Using the available literature, this narrative review discusses and summarises how this event affects diabetes and its management. The review was planned to provide possible practical recommendations for healthcare professionals to deal with this challenge and help their patients perform hajj safely.