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 women with DM are dealt with. 1. Premenopausal women: a.In sexually active age group,the first to rule out is UTI. By taking effective steps, DM control can be achieved.

b.Leucorrhoea is more common in village folks because of non use of sanitary napkins. Treat it and DM control may be easy. c.Rule out Pulmonary Tuberculosis and if detected treat it and will get DM control at the earliest. d. Chronic pulmonary infections like Bronchiectasis, 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 spouse…