Diabetes care must be available, affordable, and accessible, and must be the best we can provide. There is no one ideal model for the organization of care for people with diabetes mellitus. However, there is always room for improvement in the way we organize and deliver this care, no matter how complex or rudimentary the existing health care services. If diabetes care is properly organized to make the best use of available resources, delivered care can be markedly improved. Process and outcome audits run at the local, regional, national, or international level can help benchmark care standards and identify problem areas. Stakeholder-led efforts to reorganize care and resource utilization, adoption of alternative care models such as rural health worker, nurse or family practitioner led shared care, automatic patient recall systems, and national diabetes associations with bulk buying will lead to measurable improvements in the way we provide care to people affected by diabetes.