Best Doctor for Diabetes Treatment in Mumbai The large majority of patients have type 2 diabetes. More health resources are estimated to be spent on diabetes than on any other condition. Numerous factors, in addition to diabetes associated complications, contribute to the impact of diabetes on quality of life and health care costs. In type 2 diabetes, disease onset is often insidious, and diagnosis is therefore delayed. As a result, diabetes complications may be present at the time of diagnosis, and their frequency increases over time. Hence patients with diabetes require ongoing evaluation for diabetes related complications. It is important to obtain information on nutrition, physical activity and cardiovascular risk factors. There should be regular blood pressure examination and inspection of feet along with examination of eyes. The glycated hemoglobin (A1C) should be measured every three months if A1C is not in the goal range and therapy requires adjustment. In patients with stable blood sugar levels, A1C should be measured every six months. The other important laboratory investigations include fasting lipids, basic metabolic profile, and urine albumin – to- creatinine ratio. Hypertension is a common problem in type 2 diabetes. Early and effective treatment of high blood pressure is important. The increased risk for asymptomatic coronary artery disease in those with diabetes and other risk factors suggests that the decision to perform cardiac evaluation should be individualized, with consideration given to those at very high risk, such as patients with diabetes who also have atypical cardiac symptoms (eg, unexplained dyspnea), peripheral or carotid artery disease, or ECG abnormalities. There are three major components to nonpharmacologic therapy of blood glucose and overall health in type 2 diabetes. These are : dietary modification, exercise and weight reduction.