The goal of this study is to explore differences in the content and structure of patient care across and within pediatric endocrinology centers. This mixed-methods study will describe clinic level demographics and processes across several international pediatric endocrinology clinics, as well as explore the roles and approach to delivering diabetes education and support. Results from this study will increase understanding of what may be driving disparate patient outcomes across centers and support future quality improvement research.

To validate the revised diabetes distress scale in a Dominican setting. In addition to determine the prevalence of diabetes distress in the adult clinical population for patients in a diabetes management program in rural Dominican Republic.

Diabetic retinopathy (DR) is the leading cause of blindness in working age Americans. Vision loss due to DR can be prevented with early detection and treatment. However, the rate of retinopathy screening remains low. Pharmacies are often a patient's primary point of contact with the health profession. Hence, this study aims to determine the feasibility of integrating a portable handheld camera for eye screening without the need for pupil dilation at pharmacies located in rural and urban areas of North Carolina. The average consumer visits a pharmacy 35 times per year, making pharmacies an ideal setting for evaluating this DR screening model. Additionally, we will also assess the feasibility of integrating an automated grading system for retinal images. If successful, results from this study can be used to increase and improve community-based health care by integrating pharmacies and clinical care.

This study examines whether the use of the COMS One optical and magnetic stimulation device helps promote wound healing in diabetic foot ulcers

Living with diabetes can be challenging, however Diabetes Self-Management Education and Support (DSMES) is well known to help persons with diabetes (PWDM) learn to cope with the uncertainties of life with diabetes. Unfortunately, DSMES is underutilized in the current health care setting.

The purpose of this study is to determine the frequency of HbA1c testing in Lumbee communities and address what factors influence the rate of lab testing of Lumbee people.

The purpose of this study is to understand the behaviors and attitudes related to online grocery shopping among parents with children age 1-5 years old. The aim is to develop online food retail nudges to discourage fruit drink purchases and promote healthier substitutes. The ultimate goal is to decrease consumption of sugar-sweetened beverages in childhood as these are associated with increased risk of diet-related chronic diseases, such as obesity and type 2 diabetes.

The purpose of this study is to identify the long-term safety of TZIELD in Stage 2 T1D patients treated with TZIELD under real-world conditions. A comparison group of patients with Stage 2 T1D who were not treated with TZIELD will also be enrolled.

To learn the current perceptions of community dental providers in different specialty areas to identify needs for pharmacy utilization and collaboration in the future within the community dental practice setting with the overarching goal of improving patient outcomes related to antibiotic use, opioid use, and chronic diseases.

To evaluate the impact of environmental exposures during pregnancy on women's cardio-metabolic health in the years following the pregnancy.