A coordinated program between primary care providers, diabetic nursing, nutrition counseling, and community health. This program aims to take a multidisciplinary approach to diabetic care and prevention to enhance the health of the community.

• Diabetic case management and outreach to assist patients to complete their annual diabetic exams and recommended labs to monitor diabetes complications Medication management of blood sugars, blood pressure, cholesterol, and other associated conditions.
• Patient and family education on healthy eating and physical activity Management and education of “Continuous Glucose Monitors” (CGM), a device implanted to give a diabetic patient immediate feedback on how lifestyle choices affect a patient’s blood sugar.
• Follow up on ancillary care, such as dental exams to help improve glycemic control, optometry exams to monitor sight-threatening retinal eye disease, and foot care.
• Diabetes Shoe Program offers supportive shoes and custom orthotics for patients who need them.