<p>This study presents a novel discrete fractional-order mathematical framework for modeling and forecasting the coupled progression of diabetes and cardiovascular complications, with emphasis on population dynamics in Saudi Arabia. Using the discrete Caputo fractional operator, the model captures memory effects and long-term disease dependence not represented by classical integer-order systems. The population is divided into five interacting compartments: susceptible, exposed, diabetic without major complications, diabetic with severe complications, and cardiovascular-affected individuals. A rigorous qualitative analysis establishes equilibrium points and examines their local stability under fractional discrete dynamics. Stability regions are identified in parameter space, clarifying the mechanisms governing disease persistence and progression. A feedback-based control strategy is proposed to restore stability of the disease-free equilibrium when destabilization occurs. To enhance predictive performance, a Reservoir Computing framework is integrated and compared with Long Short-Term Memory networks, demonstrating improved accuracy and lower computational cost. Numerical simulations validate theoretical findings and highlight key epidemiological influences. Future work will extend the model by incorporating optimal control strategies aimed at minimizing infections through targeted interventions such as vaccination, improved hygiene, and environmental sanitation. The integration of fractional-order dynamics with control theory offers valuable insights for public health decision-making and epidemic mitigation.</p>