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Socio economic development is normally associated with increasing wealth, changing lifestyles, disease pattern and increasing life expectancy. This association of changes, known as epidemiologic transition, is seen in m any parts of the world and is very well demonstrated in Malaysia, which has experienced rapid socioeconomic changes in the last 20 years. The experience of developed countries in handling changes in chronic disease patterns, especially diabetes is very im portant. I am especially interested in learning how to assess and monitor diabetes at a district, state and national level in order to improve the care of patients with diabetes, and to reduce its prevalence and complications.