A leading diabetes expert has called for urgent support for the “silent minority” in care homes to avoid unnecessary suffering and even premature deaths. More than a quarter of care home residents already have diabetes, which can be more difficult to manage in older people because of other linked disorders or diseases and their treatments. Professor Alan Sinclair, Director of the Institute of Diabetes for Older People (IDOP), is also urging managers and owners to complete the first-ever national Care Home Diabetes Audit, which was launched this autumn to examine current diabetes procedures and practices. Organised by IDOP, in partnership with the Association of British Clinical Diabetologists, the care home survey seeks to identify quality standards that can be picked up by the Care Quality Commission and used to assess diabetes care delivered in care home settings. Professor Sinclair said: “The proportion of care home residents with diabetes has already approached 27%. Given this alarming statistic, we know that many care homes will wish to improve the ways in which care is organised and delivered. Failure to do this will potentially lead to unnecessary suffering and even premature deaths in the future.”