The political and social situation in the Gaza Strip remains tense, with considerable disruption of normal economic and social activity. Such an environment is rarely conducive to the delivery of continuing medical care. In this article Panagiotis Tsapogas, Medical Co-ordinator of the Greek section of Médecins Sans Frontières (Doctors Without Borders) in Gaza, 2002-2003, reports on the difficulties faced by Palestinian people with diabetes in Gaza, and makes a call for the provision of improved diabetes care.