We live in difficult but very exciting times: IDF has never been better organized or more powerful in its influence on global health policy at the highest level. The 2006 UN Resolution on Diabetes and the central role of IDF in bringing about the UN General Assembly decision in May this year to hold a UN Summit on Non-Communicable Diseases in September 2011 are proof of IDF’s effectiveness on the world stage. But have you ever wondered how IDF can influence diabetes policy at the national level? How many countries have a national diabetes programme? What do these programmes cover? Who is involved? How relevant are they? What impact do they have?