... social and emotional health of a patient, and to evaluate the care of one patient, especially during his changing therapy requirements. Research has shown that good glycaemic control throughout the whole life of a person with type 1 or type 2 diabetes will prevent or delay the onset of complications (DCCT, 1993 & UKPDSG 1998a), but in practice this is recognized as being very hard to achieve. The focus of diabetes care in the UK has changed from being treatment based to aiming at empowering the patient through education, support and regular screening for complications (Jerreat, 1999). The writer at present works as part of the multi-disciplinary team in an adult diabetes centre within a large, busy general hospital. The team consists of consultant diabetologists, registrars, specialist clinical assistants and senior house officers, diabetes specialist nurses, a nurse trained in screening for complications, clinic nurses, dietitians, podiatrists and retinal screeners ...

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