Special Diabetes Program for Indians Community-Directed Program - Diabetes is a disease which can affect children and adults alike. It has no respect of ethnicity, gender, age, social economic status or where a patient resides. However, in Indian Country diabetes is more prevalent. There are factors in Indian Country to consider such as, but not limited to a lack of medical services, proper nutrition, inability to engage in physical activities, limited financial resources, the use of tobacco products, illegal substances, alcohol abuse, and some patients are in denial of having the disease whereby they do not seek timely treatment to avoid other chronic diseases from developing. Nevertheless, diabetes is a medical issue that must be addressed by the patient and the Tribal Community as a whole, if we are to be successful in reducing the number of Tribal Members being diagnosed with diabetes and preventing further medical complications of those already diagnosed with this disease. Tribal Nations are making progress in preventing diabetes, but much work remains to be done by providing diabetes education, access to nutritious food, physical education, referrals to specialist, medication management, development of community gardens, monitoring by physicians, nurses, and Community Health Representatives. Additionally, changing the mindset of Tribal Nations by beginning with their most valuable resource, their children.