Abstract
It's been an interesting few weeks for diabetes. As rosiglitazone hits the headlines for all the wrong reasons, there is exciting news about the possible role of thiamine in preventing complications. There has also been much discussion about a Healthcare Commission report (2007) on the state of diabetes services in primary care trusts (PCTs). The report suggests that the majority of PCTs are failing to provide a ‘good’ or ‘excellent’ level of service to patients with diabetes. As a nurse practitioner and academic clinical lead with a special interest in diabetes, I found this discouraging. However, my suspicion is that these figures do not reflect the experiences of many practitioners and patients, and that, rather than be disheartened, we should see this as an opportunity to demonstrate and share innovative ways in which we are developing care.
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