Two leading private diabetes care institutions in Africa met virtually to share their stories and discuss multidisciplinary diabetes care models across the continent: the Lions Diabetes Care Centre of MP Shah Hospital in Nairobi, Kenya and the Centre for Diabetes and Endocrinology (CDE) in Johannesburg, South Africa. Some fifty-eight healthcare professionals, medical and pharmaceutical business executives joined in the live discussion on 4th June. Their objective? To identify the key elements that a private healthcare provider should consider before establishing a diabetes clinic. This event was part of Diabetes Africa’s ‘Active Conversations’ series, examining diabetes care in a changing world.