The number of people with diabetes is on the rise worldwide, posing previously unknown challenges for healthcare systems. In Germany, the prevalence of diagnosed diabetes is estimated to be nearly 7% – almost 6 million people. Additionally, it is estimated that around another 3 million people living with diabetes are undiagnosed – around half the population with diabetes aged between 55 and 74 years according to one German study. In order to better address the growing epidemic and improve the quality and efficiency of diabetes care, the German government in 2002 passed legislation for nationwide introduction of disease management programmes for type 2 diabetes. These were implemented in 2003; and in 2004, similar legislation was passed for disease management programmes for type 1 diabetes, whose implementation began in 2005.
disease management programmes, Germany, Federal Insurance Agency, ELSID study