The inexorable rise of primary care diabetes over the past 10 years, with a mass transfer of patients from hospital clinics and the creation of community diabetes medical and nurse consultants may now be demonstrating a down-side.

A summary of the National Diabetes Inpatient Audit (NaDIA 2011) in England was recently published, this being the third snapshot of inpatient care for people with diabetes. NaDIA 2011 was carried out by diabetes teams in 188 acute sites on a nominated day in October, resulting in data on 11,866 inpatients.

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