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We thank the reader for the keen interest he has shown in reading our article. There is lack of data on the effectiveness of therapy for Diabetes in our country. We agree with the reader’s contention that larger studies should be planned to get a comprehensive picture of standard of care of Diabetes in our clientele. We feel Armed Forces Medical Services with its stratified structure of providing medical care is ideally suited for conducting the study and could take a lead in this respect.
The study design was formulated before the concept of individualisation of glycemic target was brought in diabetes care. We are not certain whether the outcome would have been any different even if we had used individualised targets.
The necessity for auditing performance is the first step in improving quality of care in chronic non communicable disease like Diabetes and we hope more attention is paid to this aspect of diabetes care.1