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I think your first step would be to make sure you qualify for health cover in Italy. Assuming you do then medications for chronic illness are generally free. Your doctor will refer you to the diabetic clinic at a local hospital and you will go and be checked there as often as they require to see you, a small charge to see the specialist. What is called the "ticket" price here. You will probably have to pay for blood tests, but this seems to vary. Not sure where you will be referred to from Sarnano, but probably Penny, another forum member will know.