 We think we have a way of improving this situation. We have developed a tool called an Optimised Diagnostic Strategy ODS. This combines a persons clinical features such as their age and weight, with blood tests looking for changes in their bodys immune defence system, and a blood test looking for specific changes in their genetic code, to help accurately diagnose what kind of diabetes that person has. We now need to test this ODS to see if it is better at getting the right diagnosis and treatment from the start compared with what we do in routine clinical practice at the moment. This kind of project is called a Randomised Controlled Trial RCT and would involve patients from General Practitioner GP surgeries all over the United Kingdom UK. The project would be expensive as it involves a lot of work by many people to get it set up and to keep it running. Before we can do this we need to do a pilot to see if the bigger study would be possible and practical to do. This pilot project will be done locally in Exeter and test all the parts needed for the larger scale RCT. 