Often this fact can be confirmed on a follow-up. Polyphagia is rarely complained of, because even normally Arabs eat heartily. Many Arabs complain of marked weakness, which turns out to be psychogenic or of sexual origin. Loss of weight is not a common complaint of Arab diabetics. The incidence of Diabetes is much more in males.
Ketonuria is very rare in Arab diabetics.
Perhaps the severity is more marked because of the dreaded fear of the disease of diabetes. Unfortunately at present in Bombay we have no facilities to investigate impotence. Clinically if a patient has evidence of peripheral neuropathy or autonomic nervous disturbances, then the impotence can be considered as organic and due to diabetes. In the rest, it is only on a 'follow-up' that one can confirm the label of 'psychogenic'. Microvascular complications like diabetic retinopathy or nephropathy are also very rare.