Problem: Rising prevalence of type 2 diabetes. Diabetes care delivery concentrated in higher-level care settings. Increasing waiting times for diabetes services. Geographic inequities in access to diabetes-related care. Solution highlights: Following grassroots efforts to increase the role of primary care providers in managing patients with diabetes, formal clinical guidelines to support diabetes care delivery at the primary level were published in 2009. The delivery of diabetes-related care in primary settings is increasing as a result. Knowledge gained through experiences working abroad provided inspiration for the initiative and fostered local innovation. Informal discussions among providers had sufficient power to initially motivate and direct change. Incorporating trainings for providers into the formal education system helped to establish a new standard of care and ensured sustainability of knowledge.