Why do some patients have trouble controlling their diabetes?

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Some patients have trouble controlling their diabetes because they may not be adhering to lifestyle changes such as exercise, diet, and medication therapy. Other reasons can include lack of access to healthcare or limited knowledge regarding diabetes self-management. Additionally, certain conditions such as hormonal imbalances, polycystic ovarian syndrome (PCOS), or genetic predisposition can make it difficult for a person to adequately control their blood sugar levels.