Diabetes care in general practice is facing increased pressure to improve access for and engagement from patients to reduce long-term problems associated with poor diabetes control. Digital diabetes methods aim to bridge the gap between patient engagement and poor service delivery by improving flexibility for patients to access suitable care. Digital methods include both video and SMS services to allow patients to undertake consultations or reviews in a variety of settings. This article provides general practice nurses (GPNs) with the foundations of how digital diabetes care can be established in practice in relation to initiating and managing both oral and injectable therapy. Indeed, digital health care is the way forward for managing issues of limited staff and lack of appointments, while improving patient engagement across the board.