When discussing diabetes, we are talking about how one of the major epidemics of the 21st century spreads over the population. How to treat and stop it? The main tool for the prevention of complications and the development of diabetes lies in education, not only for the general population, but also for the different health professionals who, in one way or another, participate in the care of the Patients. This will allow for better interaction at each encounter between the individual and the health care provider, maximizing adherence to treatment and achieving better metabolic control to reduce diabetes progression, progression, and associated complications. Today, innovation and technology offer new and different treatment options for diabetes. There are many oral medications that work on different physiological defects identified in this condition. Similarly, there have been new injectable drugs, which are not insulin and help maintain proper control of blood sugar levels and maintain or reduce body weight. There are also new insulins and methods of administration of this that allow a better simulation of the insulin secretion that occurs in a person who has diabetes. All this, in addition to the emergence of new methods to control blood sugar levels to individualize therapy helps each person with diabetes to achieve and maintain adequate control, slow the progression of the disease and its complications. Despite all these advances have not been able to reduce new cases of diabetes, stop the progression of the disease or the development of chronic complications of this. At that time, there is no data on diabetes control in Puerto Rico. Data from the Department of Health show that US diabetes control in the nation, as measured by the percentage of people achieving A1C below 7.0%, has improved to 55.7% in the period 2003 And 2004. How much more can the situation improve? What can be done to achieve this? There is still a long way to go. There are enough tools to get proper control of diabetes and associated conditions. In order to stop this epidemic, joint efforts are needed between health professionals, professional and non-professional organizations related to diabetes, the insurance industry, the pharmaceutical industry, government and the general population. We must learn to work together. Therefore, it would achieve greater awareness of how to prevent and control diabetes and how to individualize therapy to achieve maximum benefit with the lowest risk and probably the best cost for each individual. Only then will it stop diabetes mellitus in Puerto Rico and thus contribute to a better quality of life for our people.