 Management of diabetes is an evolving challenge to health care professionals. The fluctuations of glucose levels over the lifetime of patients with diabetes can lead to complications such as nephropathy, neuropathy, retinopathy and cardiovascular diseases. Although diabetes is a chronic disease, it can be controlled with use of medications pills or insulin, andor changes in life-style and diet. These interventions are aimed at keeping the blood glucose levels normal or in the range of acceptable levels. 