INS and diabetes mellitus: Diabetes mellitus is defined by the American Diabetes Association (ADA) as a group of metabolic diseases characterized by hyperglycemia, this elevation of blood glucose level is caused by defects in insulin secretion, insulin action, or both [1]. It is considered one of the most common diagnoses made by family physicians [2]. The 10th edition of the International Diabetes Federation (IDF) Diabetes Atlas reported a continued global increase in diabetes prevalence.