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The prevalence of diabetes is rapidly increasing globally in epidemic proportions, but many people with diabetes remain undiagnosed or untreated. In view of this escalating prevalence, the World Health Organization (WHO) has launched the Global Diabetes Compact (GDC) campaign to improve the diagnosis and management of people with diabetes. To this end, a set of diabetes coverage targets, focusing on 80% of people living with diabetes, to be achieved by the year 2030, were defined at the 75th World Health Assembly for the first time in May this year. These targets aim to achieve not just glycemic control, but also blood pressure and lipid management at all levels of the health care system. India has the second largest number of people with diabetes in the globe. In this article, we have proposed the concept of “glycemic guardianship”, which means activities carried out by the health care team and the health care system in partnership with the patient to ensure optimal care of diabetes. Recognizing and acknowledging our role as “glycemic guardians” of the nation will automatically pave the way to realize the targets set by the GDC.
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