This paper discusses the successful development of an integrated and coordinated approach to diabetes care, which provides comprehensive outreach services through a multidisciplinary Diabetes Complication and Assessment Clinic (DCAC) to four isolated rural Aboriginal communities around Casino, in the Northern Rivers of New South Wales. This structured approach has significantly improved quality of life, clinical outcomes and cost to the community both emotionally and financially. The study authors suggest that their model for providing chronic disease management might apply to both regional and metropolitan Aboriginal communities.