“…Pathways of care have been developed through funding from NHS England, specifically for those living with type 1 diabetes and disordered eating 2,3 and the profile of the mental health needs of those with diabetes much more prominent. 4 Feedback from those using the guidance has been the need for more specific details on the 'how' rather than the 'why'. Healthcare professionals want to know what to do and when, for example, how often should an HbA1c or weight be measured in a long-stay psychiatric facility, which glucose lowering therapies have the best evidence in those with serious mental illness, how to manage deterioration of glucose control during an acute admission in acute trust and mental health facility or how should diabetes structured education be adapted to meet the needs of those with a learning disability?…”