During the implementation period of the national diabetes action program (nad) two monitor studies (2010 and 2013) have been conducted among health care professionals and patients with (a high risk of) diabetes. The main aim of this study was to obtain insight in the implementation of the dutch diabetes federation health care standard for diabetes. This article describes the current situation in 2013 and makes a comparison with the results in 2010.a cross-sectional questionnaire study was conducted among 2423 health care professionals and 5650 patients between november 2012 and february 2013.the results showed that 43.7% of the health care professionals was in possession of the care standard. The majority of the professionals (89.2%) worked (largely) in accordance with the care standard and had a positive attitude towards the care standard and its contribution to ensuring the quality of diabetes care.patients perceived a high degree of involvement in their treatment and were satisfied about the contact with their caregiver(s). Approximately 60% was familiar with the ‘diabetes zorgwijzer’ (patient version of the standard) and a minority (15.3%) was in possession of the zorgwijzer.looking back on the nad it seems that the care standard has functioned as flywheel in implementing processes to improve the care for chronic diseases in the netherlands. A next step could be to implement the care on a local level, embedding it into a community approach, with possibilities for prevention of other chronic diseases as well.