We have no cure for diabetes but as the recently published National Service Framework for Diabetes: Standards notes `with the support of high quality healthcare, people with diabetes have the potential to live long lives free of the devastating complications suffered by previous generations`.1 An earlier NSF, that for Coronary Heart Disease, observes that `excellence requires that important, simple things are done right all the time`.2 Exactly the same maxim can be applied to diabetes care. Vinod Patel and John Morrissey outline their Alphabet Strategy — a condensed but simple mnemonic to help them get seven important, simple things right: