This semester I worked with Marcy Doyle DNP, MS, MHS, RN, CNL to create a standardized operational process for NH primary care practices to prevent diabetes. The goal of the project was to create a step by step guide for primary care practices or other health agencies to target prediabetic patients and get them referred to a diabetes prevention program. Nearly 1 out of 3 Americans are prediabetic and don't know it. With intervention, most of these people can avoid or delay the onset of diabetes reducing healthcare costs throughout the state of NH.