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toxins, infections etc.). Impaired glucose tolerance (>200mg/dL after 2h of 75g of glucose intake) and impaired fasting glucose (> 126 mg/dL).1 Gestational diabetes mellitus (only during pregnancy).Approximately 177 million people worldwide are diabetic.This number is likely to double by 2030.2 Diabetes is responsible for every 1 in 20 deaths from all causes and approximately four million annual deaths are because of complications of diabetes i.e. six deaths every minute or one death every 10 seconds.2 More than 80 per cent of diabetes deaths occur in low-and middle-income countries.3 The problem of diabetes is not homogenous in 4 India.Currently, 4.0-11.6 per cent of India's urbanThe problem of mass diabetes is steadily increasing everyday.This editorial introduces key issues that need to be addressed to support the effective control of diabetes in India as well as globally.Issues like awareness generation for risk reduction, frequency of monitoring for selected parameters, standards for monitoring chronic complications in patients with diabetes, and current recommended targets of various parameters, amongst others, are presented along with extensions to the vaccinations recommended for diabetic patients.