Standards for care and management of obesity and diabetes should be developed and implemented at the primary care level. The chronic care model is a framework to identify gaps in care with the aim of designing strategies for quality improvement. Adoption of this model at the national level can facilitate improved management. Additionally, the list of essential medicines should include those that are necessary for the management of diabetes, including insulin, metformin and glibenclamide. In settings with more resources available for health, access to medications for lipid and blood pressure reduction and certain diagnostic and treatment procedures are strongly encouraged.
The creation of community services within the civil society can provide additional support to people with obesity and diabetes.