Persons (during first forty years of their life) having less than normal or normal weight generally develop diabetes. Such patients develop severe & acute diabetic symptoms after several weeks or months. If these patients are not treated without delay or at the appearance of initial symptoms, or if use of insulin is not started is discontinued, the patient may develop ketoacidosis which may prove, and often does, (prove) fatal. IDDM can only be controlled by use of insulin with requisite dietary regulation.


It usually occurs in persons who are elderly or middle-aged, or at the most who are not below 40 years of age. This is also called ‘maturity among the grown up and elderly (above 40). A few points may be of interest and benefit to the patients :
1) It can be controlled in 60% of the cases by dietary control only.
2) 20% of the cases can be controlled by the use of oral hypoglycaemic drugs alongwith dietary control.
3) Rest of the 20% cases are necessarily required to be put on insulin and dietary modifications, sometimes, hypoglycaemia drugs are also given alongside insulin. This category belongs to young patients.
4) Either due to too much medication or due to total lack, or still worse due to delay or negligence, a person belonging one group may pass on permanently or temporarily to another group.
5) NIDDM patients are more prone to side-effects, diabetic complications, sudden changes in blood glucose levels, but such ranges can be attributed to indiscreet and imprudent dietary regimen, missing the drugs or taking the drug in excess of the prescribed quantity and dosage. So, such patients must always remain on the guard against negligence, excess or lassitude factor which can affect the onset of symptoms, either way.
6) One must be regular in taking one’s diet and drugs and on no occasion, prescribed parameters should ever be transgressed and overstepped.
7) Such patients who indulge in irregularities should, instead of blaming once their doctors, own the themselves because, it is they alone and none else, who have cause unpalatable and odd situations to surface.
8) NIDDM patients should always adhere, to a regulated and modified schedule and get in touch with their doctors periodically for checkup and proper guidance, in connection with their food and drug intake. Such patients do enjoy a longer span of life as compared to IDDM patients but both have to remain always and fully on the guard.
9) It is very difficult to control diabetes children and old persons (but middle-aged diabetes, maturity onset diabetic list, can be controlled easily), the main reason is certain in-built faddism in certain patients and pattern and style of living one’s own life.