• Diabetes, Prediabetes & Prevention Programs


  • Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes.
  • Approximately 88 million American adults—more than 1 in 3—have prediabetes. Of those with prediabetes, more than 84% don’t know they have it.
  • Prediabetes puts you at increased risk of developing type 2 diabetes, heart disease and stroke.

Diabetes Self-Management Education and Support (DSMES) at Physicians Group

RAMC Physicians Group has an American Diabetes Association (ADA) recognized Diabetes Self-Management Education and Support (DSMES) program.
Diabetes is a complex disease that requires ongoing self-management by patients.  Diabetes Self-Management Education and Support (DSMES) is an evidence-based service associated with improved diabetes knowledge and self-care behaviors, lower weight, lower hemoglobin A1c, and improved quality of life. DSMES services are provided by a Diabetes Educator, a health professional with comprehensive knowledge of the prevention and management of diabetes.
These DSMES services are available for all persons living with diabetes, including type 1 diabetes, type 2 diabetes, gestational diabetes, or prediabetes. Services are individualized to the needs of the person living with diabetes. Our Diabetes Educators work with patients to establish goals for self-management, which may include:

  • Medication adherence
  • Monitoring blood glucose levels
  • Healthy eating habits
  • Physical activity
  • Coping and problem solving with daily decisions and challenges
  • Reducing risks for diabetes complications

The American Diabetes Association, American Association of Diabetes Educators and Academy of Nutrition and Dietetics, outline four critical points of time to receive DSMES services:

  • At the time of diagnosis
  • During annual assessment
  • When new complicating factors occur
  • During transitions in care

These DSMES services are covered by Medicare and most commercial insurances.
If you are interested in seeing one of our Diabetic Educators or learning more about our DSMES services, please contact your primary care provider. Your provider can determine whether a referral would be appropriate for you.
To obtain more information about diabetes, you may visit the ADA website at  https://www.diabetes.org/

Prediabetes & Prevention

A CDC-recognized Diabetes Prevention Program can help you make lifestyle changes to prevent or delay type 2 diabetes and other serious health problems.

Health4U is a CDC-recognized Diabetes Prevention Program here at Reedsburg Area Medical Center that can help you make these lifestyle changes.

The CDC estimates that through this program, you can lower your risk of developing type 2 diabetes by as much as 58% (71% if you’re over age 60).

Highlights of the program include:

  • Working with a trained coach to make realistic, lasting lifestyle changes.
  • Discovering how to eat healthy and add more physical activity into your day.
  • Finding out how to manage stress, stay motivated, and solve problems that can slow your progress.
  • Getting support from people with similar goals and challenges.

Please contact Sandra Jewel for more information or to register - sjewell@ramchealth.org or 608-768-6243.

And visit the Health 4 U page here.


For more information on diabetes prevention, visit the CDC's web site or talk to your provider.

CDC About National Diabetes Prevention

CDC Diabetes Prevention Index

Our Diabetic Educators

diabetic educators at RAMC Physicians Group

Clockwise from top left:

Stacey Warnecke, PNP-C, APNP |  Family Practice Nurse Practitioner and Advanced Diabetes Management

Bryant Schobert, PharmD  |  Pharmacist and Diabetic Educator

Becky Anderson, PharmD  |  Pharmacist and Diabetic Educator

Xin Zhang, PharmD, BCACP  |  Pharmacist and Diabetic Educator

Dani Liegel, PharmD, CDCES  |  Pharmacist and Diabetic Educator

Matt Huppert, PharmD  |  Pharmacist and Diabetic Educator