The prevalence of diabetes mellitus is steadily increasing in Western socie
ty, with obvious implications for costs to health-care providers. A project
plan to transform local care has been established in Wales to enable diabe
tic patients to self-manage their disease by improving education and access
to information and tests locally. The plan involves the establishment of l
ocal diabetes centres providing educational resources to the patients, care
rs and health professionals. It envisages that the local diabetes community
centres will provide all aspects of diabetic care, from diagnosis to conti
nuing management, with the aid of modern communications technology.