It was found that majority of centres attend to more than 5000 patient population (28 out of 30). Though all of them attended to diabetic patients in their practice area, none had special diabetics clinics. Majority (28 out of 30) made use of clinical guidelines in their practice. However with their record keeping system most of them were unable to generate a list of diabetics in their practice area (21 out of 30).Availability of IEC material was quite low (3 out of 30).None of the centres had physiotherapist or nutritionist but majority (28 out of 30) had a pharmacist who only dispensed medicines. Equipments for basic tests like blood sugar estimation were available in 5 centres. None had opthalmoscope, X-Ray facilities or USG facilities. Only two had provision of oral hypoglycaemics. None had the system of immunization for diabetics. The FCD highlighted the constraints of physicians in diabetes management. Most diabetics were referred to higher centre due to inadequate laboratory services. Huge burden of consultations per day, led to shorter consultation time for evaluation and co morbidity management. Emphasis was laid on the need for CME and lucid clinical guidelines. It was also felt that low patient awareness and loss to follow up were a hindrance.