Since its establishment in 1967, the International Diabetes Center, Minneapolis, has broadened its interest in patient education from an active concern to a worldwide effort. In addition to providing formal educational programs for diabetics and their families, the Center has trained thousands of health professionals, many of whom have returned to their own clinics, hospitals, and other facilities to initiate similar programs. In 1984, building on its long history of consulting with health care provider organizations in the development of diabetes education programs, the International Diabetes Center initiated a systems development program. Under this program, the Center works with selected hospitals and clinics to develop a national network of sophisticated, integrated diabetes management centers. These Affiliates work with the Center to develop education, clinical care, and research programs that mirror those at the Center.