Presently diabetes is an epidemic in India affecting every part & group of people but I would like to emphasize following in long-term management: 1] Emphasize on dietary control & lifestyle modification. This will control most of the diabetics in lifelong 2] Metformin is still best in the modern era. Avoid prescribing costly medicines like DPP 4 inhibitors, SGLT 2 inhibitors routinely. Their higher cost effects even very rich people in long term.
If required in uncontrolled pts or due to other reason than shift to cheaper medicines asap as India is country where only few may afford to costly medicines for a long time 3] Many type2 DM patients may be shifted on oral drugs in long run if used judiciously. Once insulin doesn’t mean insulin forever 4] We as Indians should follow our own guidelines rather than blindly following western guidelines. Indian economy, eating habits are far…
