The design, "repeated cross sectional" may not be appropriate choice, or wrongly specified. The abstract lacks important definitions and better to clarify the following concepts. For example, does the diabetes case were new or not? What were the data specifically extracted from the monthly report, NCD surveillance report and DHIS2? In addition, better to mention the specific time series analysis method, if done. While the author(s) mention "lack of data on DM incidence" as a acknowledge gap, the method and result section does not address the incidence.