Presently one in twenty of the Irish population have Type 2 Diabetes. Our obesity epidemic is resulting in dramatic annual increases in this prevalence. The Expert Advisory Group in Diabetes in its 2007 report recognised the need for a new model of care for people with Type 2 Diabetes. This integration across primary, secondary and tertiary care requires agreed clinical guidelines. Dr Velma Harkins of the Irish College of General Practitioners, Dr Richard Firth of the Irish Endocrine Society and Dr John Devlin of the Department of Health and Children, have provided these guidelines offering clarity in regard to diagnosis, targets for clinical care and the interventions that are appropriate at each stage of the disease.