NACDD unites 7,000 professionals across U.S. health departments, nonprofits, academia, and industry, advocating, educating, and providing technical assistance to strengthen chronic disease prevention leadership and capacity.
Expanding diabetes care access through pharmacy-based programs
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“When public health is supported at a systems level, it’s possible to move more quickly from a model of sick care to a model of preventive care.”
— Susan Millstein, diabetes program manager, New York State Department of Health
Strengthening public health infrastructure to improve diabetes prevention and management
Across the United States, expanding access to diabetes prevention and self-management support remains a critical public health priority. Through collaboration between the National Association of Chronic Disease Directors, state health departments, and community partners, innovative models are emerging to make evidence-based care more accessible to the people who need it most.
In New York State, leaders in public health and pharmacy practice recognized an opportunity to reach more individuals by integrating Diabetes Self-Management Education and Support (DSMES) services into community pharmacies. With nearly 90% of the U.S. population living within five miles of a pharmacy, pharmacists represent some of the most accessible and trusted healthcare professionals, yet historically they have been underutilized in diabetes care. By supporting pharmacies to become accredited providers of DSMES, the initiative expands opportunities for patients to access education, guidance, and ongoing support close to home.
Working with state partners and national organizations, the program has grown rapidly. Where only two pharmacy-based DSMES programs previously existed in New York State, accreditation efforts have expanded that number to dozens of participating pharmacies. Through technical assistance, workforce development, and collaboration across state lines, NACDD helps public health teams share lessons learned and scale approaches that improve access to care, strengthen prevention systems, and ultimately support healthier communities.
