Thanks for the reply, That is the conclusion I am coming to, I have seen that there are basic guidelines regarding blood sugar levels and potential issues or restrictions to follow, But it also seems that there are courses out there, but they vary wildly in what they cover and what they cost and what or if they have any benefit. I am wary of a lot of courses out there, they are money making schemes a lot of the time!! I just wondered if there is a standard requirement? For example to work with my cardiac patients I have to be certified by BACPR, wasn't sure if there was a similar set up for Diabetes? Thanks again.