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A global health problem, diabetes is expected to be one of the 21st century’s biggest medical challenges. The disease currently effects one in fifty and the number of people who eventually develop diabetes worldwide is likely to keep rising. Now, more than ever, it is essential for doctors to keep up to date with developments in this field. ‘The Year in Diabetes 2004’ provides expert comment on the most important papers published over the past 12 months, offering an up-to-the-minute summary of recent research findings.