It's the major issue for me with doing a DAFNE course (aside from the fact that I can't really see how it would benefit me thanks to having done bdec years ago). They all run for a week that I would have to take off work. That's great and everything, but really? Take a week off to try and teach me something a) I already live by and b) that should really take 3 or 4 hours - a day at most. My job is such that spending a week off means I miss too much for no real benefit, Sorry NHS, I live in the real world and as an educated person with a reasonable level of intelligence, you should treat me like someone in this position.
I think this is what frustrates me about the whole "structured education programme" for diabetes in the UK. If you are obviously liviing by the carb counting and DAFNE approach, the 5 days spent with other diabetics being wound up by learning how to do what you do already and not being told to bolus for protein, for example, is thoroughly frustrating. I've had a long chat with a couple of fitness industry people who have been provided with the structured education, and they were shocked at the lack of attention given to protein in the diabetic diet and the effects on insulin requirements.