This project will support the Aleutian Pribilof Islands Association, Inc.'s Health Department's Primary Care Services Division in their efforts to treat, educate and prevent diabetes in the Aleutians West Region of Alaska. Congressional District AK-OOO. Specifically, in the remote communities of Atka, Nikolski, St. George, and our sub-regional HUB, Unalaska. This project provides for treatment, education, and outreach events as well as retinopathy clinics in each or our communities. It also provides for DM related education for our providers. This project allows us to provide events in each of our communities that include a DM Clinical update for those in our registry, education and outreach to all in our communities, and introduction and one on one with ANTHC Alaska Native Medical Center DM trained professional to bridge the gap in referrals and reluctance of our DM patients to go to Anchorage to see an internal medicine specialist and access education related appointments.