The main changes stated by interviewees in the care of patients with diabetes in the year following the educational intervention included increased used of protocols and policies; using ACE inhibitors as a first line for patients with diabetes who developed hypertension; switching patients to glitazones; increased use of aspirin and statins; putting patients on insulin either directly or by referral to secondary care; quicker titration of drugs leading to increased prescriptions; increased screening and review of patients with diabetes. The gene discussed is INS; the disease is Hypertension.