In DM, the control of  blood sugar depends on various secondary factors apart from diet control, exercise and good choice of the drugs including insulin. Inspite of all these measures in twenty percent of DM, good control is an utopian task. The factors vary between men and women. Here men with DM are dealt with. 1. Men below sixty: a.In sexually active age group,the first to rule out is UTI. By taking effective steps,DM control can be achieved.

b.STD is to be ruled out including HIV. c.Rule out Pulmonary Tuberculosis and if detected treat it and will get DM control at the earliest. d. Chronic pulmonary infections like Bronchiectasi, lung abscess may at times pose a problem for control and treat them for effective control of DM. e.Mental agony is nowadays very common due to possible marital disharmony and work related stress and needs counselling to both husband and wife. 2.Senior…