The standard of care for diabetes in England is "depressingly poor", causing unnecessary deaths and disabilities, a parliamentary committee says.
The Public Accounts Committee came to the conclusion after looking at how well the NHS was doing at helping patients manage their condition.
Previous reports have criticised the lack of checks being carried out, such as blood pressure, eye and foot exams.
They both flagged up statistics showing less than half of people with diabetes get all the nine basic tests they should.
Without effective care, patients can develop a range of complications, including blindness and kidney disease.
If everyone got the right care, it is estimated 24,000 lives could be saved each year.
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