Up to 24,000 diabetes-related deaths could be avoided in England each year, if patients and doctors better managed the condition, a report concludes.
The first-ever audit of patient deaths from the condition said basic health checks, a good diet and regular medication could prevent most of them.
Diabetes UK said it was vital the 2.3 million sufferers had top quality care.
The Department of Health in England said shocking variations in care and an unacceptable death toll were evident.
About a third of people in the UK affected do not realise they have the condition.
It means their bodies cannot use glucose properly. If they do not manage it, they can develop potentially fatal complications like heart or kidney failure.
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