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5±1.6 kg/m (p0.001), weight -1.8±4.7 kg (p0.001). Urine albumin creatinine ratio [median (IQR)] at baseline was 3.0 mg/mmol (0.7-7) vs follow up 1.9 mg/mmol (0.8-5.5) p 0.54). Glycaemia and cardiovascular risk factors can be reduced in patients with long-standing Type 2 diabetes by moving to a locality based integrated primary-secondary care diabetes care service. This article is protected by copyright. All rights reserved. Glycaemia and cardiovascular risk factors can be reduced in patients with long-standing Type 2 diabete