Yet the most recent NaDIA report (49) confirms that clinical inertia still prevails with 18% of hospitals reporting no dedicated diabetes inpatient specialist nurses, and access to diabetes specialist pharmacists and dietitians a continued problem, 18% of medication charts having one or more insulin errors during hospital stay and almost 1 in 3 inpatient charts having at least one medication error, unrecorded capillary blood glucose levels and 3.6% of inpatients with Type 1 diabetes having developed in-hospital DKA at any point during their hospital stay. The gene discussed is INS; the disease is type 1 diabetes mellitus.