Diabetes is a condition where the glucose, or sugar, level in the blood is too high.  The body uses insulin, a hormone, to regulate the levels of glucose in the blood.  When there is not enough insulin in the body, the glucose level in the blood is high.  Over time, too much glucose in the blood can cause serious health problems.  There are three types of diabetes:

  • Type 1 diabetes usually develops in childhood and is where the body does not make insulin.  This is often called insulin dependent diabetes.
  • Type 2 diabetes, which is more common, usually develops in adulthood.  With this type, the body does not make or use insulin well.
  • Gestational Diabetes is the third type of diabetes.  Occurring during a woman’s pregnancy, the mother has difficulty digesting carbohydrates.  Gynecologists usually perform this test on all pregnant women early in the first trimester.

The proper management of diabetes can prevent unnecessary complications.  Carolina Collaborative Community Care, Inc. (4C), care managers provide education and self-management support to individuals diagnosed with diabetes.  Care managers may conduct home visits, inpatient hospital visits, and follow-up care to ensure that patients are receiving the best possible health care available.


Diabetes Disease Management for Providers and Patients requires following these steps:

  • Adopting American Diabetes Association’s tips for living with diabetes.
  • At least two diabetic care appointments each year.
  • A dilated eye exam every year with the report of the exam in the medical records.
  • Glycosylated Hemoglobin (HbA1c) test at least twice a year.
  • Annual flu vaccine.
  • Foot exam with monofilament at least annually.
  • Annual Cholesterol (LDL) screening.


Did you know?

  • Diabetes is the 7th leading cause of death in NC and in the nation.
  • One out of every three people with diabetes is unaware they have it.
  • Adults with diabetes have heart disease death rates 2 to 4 times higher than adults without diabetes.
  • Diabetes is the leading cause of new cases of blindness among adults 20-74.
  • The leading cause of diabetes is obesity.


For more information about diabetes, visit the websites below or call 4C!