Bancroft et al (2013) are currently running a longitudinal study of outcomes associated with a patient self-titration model of care involving the use of titration protocols. Initial three-month results based on 26 participants have found a mean increase in body weight of 2 kg and a mean drop in HbA1c of 1.6%. All participants attributed improved skills, knowledge and confidence in insulin dose adjustment and diabetes self-management to the Model of Care and all agreed or strongly agreed that the protocols were easy to use. Follow up will continue for a further 18 months to determine longer term outcomes.