There is overwhelming evidence that improving HbA1c reduces the risk of longterm complications and improves quality of life. In Kuwait, however, few people with diabetes reach their target levels and, as a consequence, remain at risk of diabetes complications. Healthcare professionals ask the people in their care to test their blood glucose three or four times a day. Yet in many regions, very few people with diabetes have received education on how to adjust their insulin according to their blood glucose results. Unless appropriate education and skills training are provided, blood glucose outcomes will not be affected – however much encouragement is offered. Ebaa Alozairi describes successful efforts to bring to Kuwait an educational and therapeutic approach based on dose adjustment, the recent achievements and current progress of DAFNE trainers and graduates, and plans for expansion throughout the Middle East.