So instead, in subjects with T2D eligible for insulin start-up, we aimed to assess possible associations between indicators of support staff operational capacity and support staff diabetes competences, including GP access to a diabetes nurse, (exposures) and the risk of timely vs. postponed basal insulin initiation (primary outcome) and the chances of attaining HbA1c <7% (53 mmol/mol) subsequent to insulin initiation (secondary outcome). The gene discussed is INS; the disease is diabetes mellitus.