In July, 2017, a patient return to us that had moved to Noble County approximately 18 months earlier.  She had insurance when she moved, but subsequently lost her coverage.  She had no access to care had been without her medication for about 9 month.  Diane found herself in the Emergency Room with her blood sugars over 500 and an A1C of 11.5; over twice what is should be.  The staff at Parkview Noble referred at her to St. Martin’s for care.  Needless to say, she was very excited to learn that the clinic now served Noble County as well.   Unfortunately, the months with uncontrolled blood sugars had taken their toll on her health.  Her kidney function was beginning to deteriorate, the diabetic neuropathy was worse, her carotid arteries were 65% occluded and her vision was decreasing.  First, Diane saw our nurse practitioner who restarted her insulin injections, respiratory inhaler, and cholesterol medication, treated her neuropathy and addressed her anxiety and depression.  Immediately she was scheduled to be seen at St. Martin’s by our volunteer eye doctor and found to need laser surgery.  St. Martin’s was able to assist her in getting this procedure done at a very minimal cost in an effort to save her vision.  She also met with the volunteer diabetic educator for one on one help with her diet.   Her most recent A1C (6 months later) is down to 7.5; much more desirable that previously.