Countries National plan Guidelines
National
register
Developments since 2008 Planned actions
Belgium
Guidelines for good medical
practice – type 2 diabetes
The Belgian
diabetes
register is
limited to newly
diagnosed
people with
diabetes aged
under 40 years.
INAMI 2009 chronic disease
management ‘care trajectories
for type 2 diabetes’ project
Zoet Zwanger, a prevention
project targeting women with
gestational diabetes put in
place in the Flanders region in
2009
From 2012 to 2015, the
Flemish diabetes association is
planning activities for the
prevention of diabetes as a
partner organization of the
Flemish authorities & regional
authorities have set goals for
healthy food and exercise
uptake
Bulgaria
Bulgarian Association for
Endocrinology’s guidelines
‘Endocrinology and metabolic
disease’ (2005)
Bulgarian Diabetes association
updated 2008-2011
programmes of activities
Adoption of a National
programme for prevention,
early diagnosis and treatment
of diabetes and its
complications
Czech Republic
Second National
Diabetes
Programme (2000)
Czech Diabetes Society’s
comprehensive diabetes
guidelines
Ongoing reform of the
healthcare system
Implementation of the national
Diabetes Programme (2011-
2015)
Denmark
Diabetes Action
Plan (2003)
National Board of Health
Diabetes Guidelines (1994)
Yes
Facts on Diabetes 1996-2009
and national board of Health
(2010)
Germany No, in preparation
Group of the Scientific
Medicine Association’s
National Care Guidelines
(2000), German Healthcare
Professional Diabetes
Association’s guidelines for the
treatment and care of diabetes
Yes
The National Diabetes Action
Forum continues to prepare its
National Diabetes Programme,
‘Diabetes Agenda 2010’
Introduction of national
Diabetes register
Completion of National
Diabetes Programme
Estonia
Guidelines on Diabetes Type 1
Treatment (1998), Guidelines
on Diabetes Type 2 Treatment
(1999), Diabetic Ketoacidosis
Treatment in children (2003)
Ireland
Irish College of Practitioners
‘Guidelines on Diabetes Care’
(2008)
Establishment in 2008 of an
expert advisory Group to advise
on improved delivery of
diabetes care and in 2010 of a
national diabetes working
group to implement the findings
of the expert advisory Group…
A national diabetes register, a
national screening programme
for diabetic retinopathy and
implementation of a national
programme for diabetic foot
care
Greece
Joint Hellenic National Centre
for the Research, Prevention
and Treatment of Diabetes
Mellitus and its Complications,
Greek Diabetes Federation and
others
New guidelines for type 1
diabetes are being developed
* The source of information is the 2011 Report from the International Diabetes Federation – European Region (IDF Europe) and the Federation of
European Nurses in Diabetes (FEND), together with Primary Care Diabetes Europe (PCDE) and the European Alliance for Research in Diabetes (EURAD
entitled 'Diabetes - The Policy Puzzle: Is Europe Making Progress?’.
Revised by SANCO.C2 in April 2012
EUROPEAN COMMISSION
HEALTH AND CONSUMERS DIRECTORATE-GENERAL
Directorate C - Public Health
C2 - Health information
Overview on diabetes policy frameworks in the European Union and in other European countries
Countries National plan Guidelines
National
register
Developments since 2008 Planned actions
Spain
National Diabetes
Strategy
Multiple regional
plans adopted in
about two thirds of
autonomous
Communities
National Health system Clinical
practice Guideline on type 2
Diabetes
Clinical Guidelines for type 1
Diabetes (unpublished)
Completion of clinical
guidelines for type 1 diabetes
and type 2 diabetes, Andalusia
launched its second Diabetes
Plan (2009-2013), review of
national Diabetes strategy
Exploitation of research data;
publications on diabetes and
obesity, eating patterns in
relation to risk factors, physical
activity and genetic aspects
France
The French Health authority is
revising and establishing a new
set of good practice guidelines
for the treatment of type 2
diabetes, which will be
published in the first half of
2012
National Plan to improve the
quality of life of People living
with Chronic Disease (2007-
2011); Continuous care and
support telephone service,
‘sophia’ (2007-2011), national
obesity Plan (2010-2013)…
Third national nutrition and
Health Programme 2011-2015
and updated guidelines for the
treatment of type 2 diabetes
(expected 2012)
Italy
Italian standards for Diabetes
Care (2009-2010)
Development of education and
training for professionals at
regional and local level;
Gaining Health campaign;
Italian standards of care for
Diabetes mellitus 2009-2010…
Cyprus
National Diabetes
Plan
Yes Yes
Improvements in the Cyprus
Diabetes register
Cyprus Diabetes register to be
rolled out in all health centres
by 2013 and to include
additional data, such as family
history, exercise and self-
monitoring & update of the
existing action Plan on
diabetes
Latvia
Prevention, Diagnosis and
treatment of type 2 diabetes
(2007)
Rational pharmacotherapy
guidelines for treatment of
diabetes within the
reimbursement system (2007)
Yes
Public Health Guidelines Draft
for the period 2011 to 2017
Lithuania
National
programme for
Diabetes Control
Ministry of Health guidelines,
reviewed in 2005
Recognition and
reimbursement of diabetes
nurses and podiatrists (2010)
Extension of the national
Programme for Diabetes
Control and update of
recommendations for diagnosis
and treatment
Luxembourg
Based on IDF Global
guidelines for type 2 Diabetes
Various awareness campaigns
Increased government
involvement with diabetes
stakeholders
Hungary Yes
Advisory Board of Internal
Medicine Guidelines (2002)
Yes
Ongoing comprehensive reform
of the healthcare system
Malta
European Diabetes Policy
Group guidelines for diabetes
treatment and international
guidelines
Publication of non-
Communicable Disease
strategy, which includes
diabetes (2010)
Continued advocacy to build a
national diabetes framework
Netherlands
Ministry of Health,
Welfare and
Sport’s ‘Diabetes
Action
Programme’
Dutch College of General
Practitioners’ guidelines,
Government guidelines on
diabetes and pregnancy, Dutch
Institute for Healthcare
guidelines
Updated Diabetes action
Programme, the ‘bundled-
payment’ concept approved for
nationwide implementation and
nationwide care audits in 2008
and 2010
Reaching the goals of Diabetes
action Programme
* The source of information is the 2011 Report from the International Diabetes Federation – European Region (IDF Europe) and the Federation of
European Nurses in Diabetes (FEND), together with Primary Care Diabetes Europe (PCDE) and the European Alliance for Research in Diabetes
(EURADIA), entitled 'Diabetes - The Policy Puzzle: Is Europe Making Progress?’.
Revised by SANCO.C2 in April 2012
EUROPEAN COMMISSION
HEALTH AND CONSUMERS DIRECTORATE-GENERAL
Directorate C - Public Health
C2 - Health information
Overview on diabetes policy frameworks in the European Union and in other European countries
Countries National plan Guidelines
National
register
Developments since 2008 Planned actions
Austria
Austrian Diabetes
Plan (2005)
Austrian Diabetes Association’s
Guidelines for Diabetes (2009)
Ministry of Health
2009 update of the Austrian
Diabetes association
Guidelines for diabetes
Implementation of the 2006
Disease management
programme throughout the
country and creation of a
national diabetes register
Poland
Clinical Guidelines for Diabetes
Treatment (2011)
Programme for the Prevention
and treatment of Diabetes in
Poland for 2010-2013
Portugal
National
Programme for
Diabetes
Prevention and
Control
‘Diabetes Dossier’ for
practitioners and ‘Diabetics’
Guide’ for people with diabetes
Epidemiological study on
national and regional
prevalence (2009), creation of
the Diabetes observatory,
guidelines, extension of
retinopathy screening, monthly
foot inspections in 30% of
primary care centres,
integrated diabetes
management in 5 regions
Review of the national
Diabetes Plan, extend foot and
retinopathy screening, reduce
diabetes-related hospital
admissions and amputations,
coordination of primary
prevention efforts with other
chronic diseases…
Romania
National
Programme for
Diabetes Mellitus
and other
Nutritional
Diseases
Yes Yes
Slovenia
Diabetes
prevention and
Care Development
programme (2010-
2020)
Diabetes action
plan
Guidelines for Type 2 Diabetes
People with
type 1 diabetes
only
Implementation of the Diabetes
action Plan
Guidelines for type 1 diabetes
in adults and guidelines for
type 1 diabetes in children and
adolescents
Slovakia
National Diabetes
Programme
Multiple guidelines
Yes: people
with type 1
diabetes only
Update of the national
Diabetes Plan and
establishment of three
paediatric care centres
sponsored by the Slovakian
Diabetes society
Finland
Development
Programme for the
Prevention and
Care of Diabetes &
Programme for the
Prevention of type
2 diabetes 2003-
2010
Multiple guidelines
In 2010, the ministry of social
affairs and Health developed a
strategy for socially sustainable
Finland 2020
Follow up of national Diabetes
Plan
Sweden Yes
National Board of Health and
Welfare’s Guidelines for
Diabetes Care
Guidelines for Health
promotion in Healthcare
Yes
Revised national guidelines for
diabetes prevention
The national board of Health
and welfare are preparing
dietary recommendations for
people with diabetes
United Kingdom
National Service
Framework (NSF)
for Diabetes
(2001)
National Institute for Health
and Clinical Excellence,
General Medical Services
Contract, Quality Outcomes
Framework
National Diabetes audit 2009-
2010, several clinical practice
guidelines, NHS scotland
Diabetes action Plan (2010)
and NHS Diabetes website
* The source of information is the 2011 Report from the International Diabetes Federation – European Region (IDF Europe) and the Federation of
European Nurses in Diabetes (FEND), together with Primary Care Diabetes Europe (PCDE) and the European Alliance for Research in Diabetes
(EURADIA), entitled 'Diabetes - The Policy Puzzle: Is Europe Making Progress?’.
Revised by SANCO.C2 in April 2012
EUROPEAN COMMISSION
HEALTH AND CONSUMERS DIRECTORATE-GENERAL
Directorate C - Public Health
C2 - Health information
Overview on diabetes policy frameworks in the European Union and in other European countries
Countries National plan Guidelines
National
register
Developments since 2008 Planned actions
Iceland
National diabetes
programme being
developed
Clinical guidelines for type 2
diabetes, last revised in 2011
Clinical guidelines for diabetes
in pregnancy being revised in
2011
No: plans for a
register were
rejected by the
icelandic Data
Protection
authority
Intensified campaigns by the
Icelandic Diabetic association
to increase awareness of
diabetes and increased
activities around world
Diabetes Day including
meetings in Parliament and
media activities
Completion of national
Diabetes Programme
Norway Yes Yes Yes
Continued implementation of
the national Diabetes strategy
(2006-2011), national Clinical
Guidelines on Diabetes (2009),
Patient version of national
Clinical Guidelines (2010)
Use of standardized computer-
based diabetes files in primary
and hospital diabetes care,
update and implementation of
Clinical Guidelines,
Development of better
information and training
materials for ethnic minority
groups
Switzerland Yes Intensified lobbying
Primary and secondary
prevention programmes
Croatia
National
Programme of
Diabetes Care with
Particular Initiative
in Prevention and
Early Detection
(2007)
Annual reports
Professional guidelines for
diabetes treatment (1994)
Yes
Implementation of new
guidelines for the clinical
treatment of diabetes (2009) &
action plan for prevention and
reduction of obesity 2010-2012
Implementation of a
government resolution on
diabetes & further
implementation of the national
diabetes programme
The former
Yugoslav
Republic of
Macedonia
Yes
Developed using international
recommendations
Yes: more than
50% of people
with diabetes
recorded
National register fully
implemented in all regions
(2011) and update of the
national diabetes plan (2010)
Implementation of new
Diabetes strategy with focus on
preventing type 2 diabetes
Serbia Yes Yes
Strategy for prevention and
control of chronic nCDs and
European DE-PLAN for the
prevention of type 2 diabetes
Course in management of type
2 diabetes prevention to be
organized by the Diabetes
association of Serbia and
translated eu (IMAGE)
guidelines for the prevention of
type 2 diabetes to be sent to all
diabetes stakeholders in the
healthcare system
Turkey
National Diabetes
plan (2011)
Turkish endocrinology and
metabolism Diabetes Guideline
(2010)
Professional Guidelines
published by the turkish
Diabetes Foundation (2011)
Yes
Diabetes national Plan
launched in 2011 and reform of
the health insurance system
underway
Completion of the health
insurance reform national
* The source of information is the 2011 Report from the International Diabetes Federation – European Region (IDF Europe) and the Federation of
European Nurses in Diabetes (FEND), together with Primary Care Diabetes Europe (PCDE) and the European Alliance for Research in Diabetes
(EURADIA), entitled 'Diabetes - The Policy Puzzle: Is Europe Making Progress?’.
Revised by SANCO.C2 in April 2012
EUROPEAN COMMISSION
HEALTH AND CONSUMERS DIRECTORATE-GENERAL
Directorate C - Public Health
C2 - Health information
Overview on diabetes policy frameworks in the European Union and in other European countries
Countries National plan Guidelines
National
register
Developments since 2008 Planned actions
Albania
Introduction of screening
programmes and world
Diabetes Day awareness
campaigns in regions of
Albania, especially Tirana
National Guidelines on
Diabetes Diagnosis, treatment
and follow-up, published in
2011, national Diabetes
register (2012-2013), Albanian
Diabetes association (2011-
2012) is planning nationwide
training for general
practitioners
Armenia
No, local
professionals are
preparing a draft
of a national
diabetes
programme to be
discussed and
agreed in 2012
Reportedly
including
‘almost all
people with
diabetes’
Development and negotiation
of a national programme for
diabetes
Azerbaijan
National Diabetes
programme
Approval of a clinical protocol
for type 2 diabetes
No official monitoring of the
use of the protocol
Managed by a
department of
the ministry of
Health and
including more
than 50% of the
known cases
Belarus
Clinical protocols for the
diagnosis and treatment of
diabetes
Yes
Georgia
Guidelines for General
practitioners on the
management of Blood Glucose
Only for
children
Israel To be published
Israel Diabetes association
guidelines (for type 1 diabetes
published in 2010; for type 2
diabetes to be published 2012)
Yes
Overall increase in awareness
of diabetes and lifestyle issues
– restaurants providing special
menus, appearance of ‘healthy
restaurants’
Campaign to promote healthy
diets in nurseries and primary
schools; prohibition of sale of
sugar-sweetened beverages in
educational institutions
Moldova Yes
National Clinical protocol for
Diabetes
Yes:
approximately
50% of people
diagnosed with
diabetes
registered
Implementation of national
retinopathy and foot projects
and implementation of the
newly approved national
Diabetes Programme (2011-
2016)
Russian
Federation
Implemented in
1996 for 15 years
Yes Yes
Ukraine
National Diabetes
programme 2009-
2013
Yes
No: regional
registers only
Implementation of national
Diabetes Programme
* The source of information is the 2011 Report from the International Diabetes Federation – European Region (IDF Europe) and the Federation of
European Nurses in Diabetes (FEND), together with Primary Care Diabetes Europe (PCDE) and the European Alliance for Research in Diabetes
(EURADIA), entitled 'Diabetes - The Policy Puzzle: Is Europe Making Progress?’.
Revised by SANCO.C2 in April 2012
EUROPEAN COMMISSION
HEALTH AND CONSUMERS DIRECTORATE-GENERAL
Directorate C - Public Health
C2 - Health information
Overview on diabetes policy frameworks in the European Union and in other European countries
