What is the method of expiation for approximately 390 days of not fasting in Ramadan due to chronic diabetes, and would it be by feeding 390 needy persons? What is the quantity or monetary value of this feeding? Is it permissible to donate to a charity for them to carry this out?

Diabetic patients fall into three categories:

1. Those who are able to fast and are not affected: They are not permitted to break their fast. 2. Those who are affected but can make up for the missed fasts later: They are permitted to break their fast and should make them up when they recover, with no expiation (kaffarah) required of them. 3. Those whose condition is chronic and are affected by fasting: Their ruling is to break the fast, and the fidyah (expiatory feeding) becomes obligatory upon them. This involves feeding one mudd for each day (approximately 750 grams of rice). It is permissible to give more than one fidyah to a single needy person, and a trustworthy charity organization can be authorized to pay the fidyah.