Abstract
Diabetes mellitus is a worldwide epidemic, affecting around half a billion patients and these numbers are expected to grow within the next few years and decades, Placing a huge burden on the health system worldwide, this is because the chronic hyperglycemic state is associated with multiple long-term complications including micro and macrovascular complications in addition patients may develop acute complications such as Diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state, and hypoglyc
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