Introduction - Changes in the control of vascular risk factors and the incidence of complications among people with diabetes were examined using data from the Entred studies. Methods - For Entred 2001 and 2007, 8,926 and 9,987 adults with diabetes were selected in mainland France. These individuals and their physicians were surveyed by mail. Results - The average age remained stable (65 years), and diabetes had been present for an average of 12 years. More than one-third of younger people with diabetes reported smoking. In type 2 diabetes, obesity had increased (41%; +7 percentage points), the average HbA1c was 7.1% (-0.3%), blood pressure was 134/77 mmHg (-3/-2 mmHg), and LDL cholesterol was 1.06 g/L (-0.18 g/L). Angina or myocardial infarction was reported by 16.7% (stable), coronary revascularization by 13.9% (+5 percentage points), vision loss in one eye by 3.9% (stable), and laser eye treatment by 16.6% (+3 percentage points). Discussion - There has been a significant improvement in the control of vascular risk factors among people with diabetes, which contrasts with a slight increase in the prevalence of complications. Blood pressure and glycemic control remain inadequately managed in type 2 diabetes, smoking remains common among young people with diabetes, and obesity is on the rise in both types of diabetes, requiring targeted interventions. (R.A.)