With a genetic predisposition brought to the fore by changing lifestyles deaths due to diabetes increased 50 per cent in India between 2005 and 2015 and is now the seventh-most common cause of death in the country up from 11th rank in 2005 according to data published by the Global Burden of Disease (GBD). Ischemic heart disease continues to be the highest cause of death followed by chronic obstructive pulmonary disease cerebrovascular disease lower respiratory infection diarrhoeal diseases and tuberculosis. In 2015 346000 people died of diabetes which caused 3.3 per cent of all deaths that year with an annual