An increasing number of people require insulin,owing to the progressive nature of type 2 diabetes,the increasing number of people developing the condition at a younger age, and increasing lifespans.This requirement for insulin places huge demands on specialist diabetes services and in the UK,over recent years,many general practices have begun to offer enhanced diabetes services,including the initiation and management of insulin for their patients.Often practice nurses take responsibility for day-to-day delivery of these services and many are independent non-medical prescribers