Step 1:
The first step to converting 43.756590389356 to a fraction is to re-write 43.756590389356 in the form p/q where p and q are both positive integers. To start with, 43.756590389356 can be written as simply 43.756590389356/1 to technically be written as a fraction.
Step 2:
Next, we will count the number of fractional digits after the decimal point in 43.756590389356, which in this case is 12. For however many digits after the decimal point there are, we will multiply the numerator and denominator of 43.756590389356/1 each by 10 to the power of that many digits. So, in this case, we will multiply the numerator and denominator of 43.756590389356/1 each by 1000000000000:
Step 3:
Now the last step is to simplify the fraction (if possible) by finding similar factors and cancelling them out, which leads to the following answer for 43.756590389356 as a fraction:
6651/152 / 1