CentraCare Health has done extensive work to improve the care for our patients with diabetes by improving communication and guideline care. The Diabetes Care Center of Utah at Jordan Valley Medical Center offers classes to help you learn how lifestyle, medications, stress or illness affect your diabetes. This study identifies differences in use for three types of services-hospital care, home health visits, and physician office visits—by geographical location. To assess the association between diabetes-related processes of care and preventive services, we used hierarchical logistic regression models, accounted for clustering within provider groups, and adjusted for patient age, race, income and education level, diabetes treatment and duration, and health status, as well as physician age, sex, years of practice, and specialty. Almost 25 million people in the U.S. In this cohort, 73% of eligible women received mammograms and 56% received Pap smears. live with diabetes.