Part of the reason for poor care in diabetes in the UK may be cultural, both affecting patients and professionals, in accepting high glucose levels etc, and organisational (eg patients who do not attend are often left to their own devices).
But much of the reason must be resources: for adult diabetic patients we have 1 diabetes specialist nurse: 1333 patients, our Dutch colleague 1 diabetes specialist nurse: 365 patients. Similarly, his patients certainly have much better access to insulin pumps (about 40% of type 1 patients)