The CDE (Centre for Diabetes and Endocrinology) was established in 1994, with the view to introduce much needed higher levels of care for persons with diabetes mellitus in South Africa.
At that time, diabetes care resources available to South Africans were inadequate, and in addition, diabetes care in the private sector was not appropriately funded by medical aids (medical insurers). As a result, diabetes care in general was sub-optimal.
The founder of the CDE, Prof. Larry Distiller, a world renowned Endocrinologist specialising in diabetes, had a vision to create an all-encompassing and comprehensive diabetes treatment and management programme, which allowed for the implementation of correct and appropriate diabetes care principles.
The concept of the CDE "Diabetes Management Programme" was born, developed, and was finally introduced into the South African private healthcare market in 1995. This was ground-breaking stuff – at that time, the concept of managed healthcare was foreign in South Africa, and the idea of ring-fencing, capitating and managing a condition like diabetes was revolutionary.