Standard and tight protocol by the trained nursing care and good glycaemic control when adding insulin to oral hypoglycaemic agents.

Diabetes is being more headache in India day by day when patients are prone to micro or macro vascular complications with glycaemic uncontrol stage (more than 9.5 HbA1C value. To understand why patients could not always attain the Treat to Target in Type 2 Diabetes. HbA1c ≤6.5 % glycaemic target when adding insulin to oral glucose lowering therapy. The term diabetes mellitus includes several different metabolic disorders that all, if left untreated, result in abnormally high concentration of a sugar called glucose in the blood. Diabetes mellitus type 1 results when the pancreas no longer produces significant amounts of the hormone insulin, usually owing to the autoimmune destruction of the insulin-producing beta cells of the pancreas. A GI value for the test food is then calculated for each person by dividing their glucose AUC for the test food by their glucose AUC for the reference food. The final GI value for the test food is the average GI value for the 10 people. Good glycaemic control, as measured by A1C, reduces the risk of diabetes complications. For most people with diabetes, the A1C goal should be <7%. However, it is important to individualize A1C goals when needed.