Abstract: . . .  early identification and better treatment decreases the incidence of complications.    Diabetes will continue to be a major health challenge in the future and publication of the frameworks is certainly a step in the right direction to meeting that challenge. To provide high quality diabetes care across the UK, it is essential that their implementation is as effective as possible.          Footnotes  . . .
. . .  Diabetes is associated with serious chronic ill health, disability and premature mortality. Long-term complications including heart disease, stroke, blindness, kidney disease and amputations, make the greatest contribution to the costs of diabetes care.  Many of these long-term effects could be avoided with earlier, more effective treatment.   The case for screening is strengthened by the fact that by the time they are diagnosed with Type 2 diabetes 50 per cent of people have evidence of complications 54 . This suggests that complications begin about five to six years . . .
. . .  Wales have also started implementing frameworks and Northern Ireland has now published its report on diabetes care from the Clinical Resource Efficiency Support Team (CREST).    As this report outlines, these frameworks are needed now more than ever although progress is being made. One and a half years into the planned ten-year life of the English NSF many primary care trusts (PCTs) are establishing diabetes networks and putting eye screening and diabetes registers in place. However, many have yet to set themselves challenging local targets for provision of care. This is an . . .
. . .  the incidence of complications.    Diabetes will continue to be a major health challenge in the future and publication of the frameworks is certainly a step in the right direction to meeting that challenge. To provide high quality diabetes care across the UK, it is essential that their implementation is as effective as possible.          Footnotes  . . .
. . .  their own money on coping with the condition and Social Services costs for people with diabetes are around £230 million 103 . New cases of diabetic kidney failure are costing the NHS up to £30 million a year to treat 104 .   Diabetes care today Diabetes is one of the biggest health challenges of the 21 st century.  The obesity epidemic, sedentary lifestyles and an ageing population mean prevalence of the condition is currently doubling every generation. Prevention and public health The increasing prevalence of diabetes has a great impact, not . . .
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