A number of structured education programmes have been developed specifically for patients who have significant problems with hypoglycaemia. These include Hypoglycaemia Anticipation, Awareness and Treatment Training (HAATT) (Cox et al 2004), HyPOS (Hermanns et al 2007) and Blood Glucose Awareness Training (BGAT) (Cox et al 2006). Improvements in hypoglycaemia rates and awareness seen in these programmes are not associated with deterioration in overall glycaemia control.