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Aim To assess tile effect of the implementation of tile guidelines for Diabetes Mellitus (DM) in the Family Medicine Teams (FMT) in Zenica municipality using a special flowchart designed for diabetes (SFD) tocontrol lipids level improvement in DM type 2 patients. Methods The review was conducted among 853 DM Type 2 patients older than 18. In 19 FMTs in Zenica we checked patients' charts made two years before (2003- 2005) and two years after (2005- 2007) the implementation of guidelines for DM. We divided all the stablsihed values of lipids and all the FMT on tile basis of the acievement of an optimal level (cholesterol < 4.5 mmol/L; LDL-cholesterol < 2.5; triglyceride < 1.7 mmol/L) and failure to achieve the optimal level (cholesterol > 4.5 retool/L; LDL- cholesterol > 2.5 retool/L; TG > 1.7 mmol/L). Results A total number of 853 DM Type 2 patients' records were analysed, 46 per one FMT. Four out of 19 FMT leaders (21%) were men and 15 (79%) were women. The average age was 46.6 years. A statistically significant improvement for optimal level of LDL - cholesterol (19 vs. 531; p<0.0001), cholesterol (67 vs. 212; p <0.0001) and triglyceride (227 vs. 463; p <0.0001) before and after implementation of SFD, respectively, has been found. The statistically significant improvement (per teams) for optimal triglyceride level (p<0.0001) for 10/19 FMT has been found too. Conclusion After the implementation of lipids guidelines for DM, most of tile FMT in Zenica town improved the optimal level of lipids. [ABSTRACT FROM AUTHOR]