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Diabetes  Mellitus  (DM)  could  have  easily  been  labelled  as  the  “black swan” of the 21st century, had Covid­19 not emerged as  a  pandemic.    Modern  diabetes  care  in  India  grapples  with  multiple  challenges.  The  twin  enemies  of  uncontrolled  hyperglycaemia and unwanted hypoglycaemia pose an ethical  dilemma  during  the  decision­making  process  of  DM  management.  With  an  unfavourable  support  system  against  this  rapidly  emerging  public  health  threat,  we  look  to  the  Indian Constitution for guidance. Apart from just euglycaemia  (a state of normal blood glucose levels), every Indian living with  DM has some requirements and rights, that can be summarised  with  the  help  of  three  basic  principles  of  the  Constitution,  ie,  justice, equality and liberty. Together, these words remind us to  practise accurate and appropriate diabetes care, delivered in a  patient­centred manner. Justice, equality and liberty should be  incorporated  into  diabetes­care  systems,  and  fraternity  encouraged. This will ensure that we achieve the dreams of our  founding fathers through evolution of a comprehensive disease  management model.

Justice, equality and liberty: Inspiration from the Indian Constitution for effective diabetes management