1. Lifestyle issues- so many problems are self-induced, and patients refuse to change behavior
2. The lack of community and political will to address the problem
3. Culture- as it relates to health care and wellness habits
4. Using the workplace to encourage healthy practices
   

Websites of Interest

American Diabetes Association
www.diabetes.org

South Carolina State Health and Wellness Portal
www.sc.gov/Portal/Category/HEALTHANDWELLNESS

National Center for Chronic Disease Prevention and Health Promotion
www.cdc.gov/diabetes

Health Sciences South Carolina
www.healthsciencessc.org

South Carolina Excellence Initiative for Eliminating Disparities in Healthcare
exceed.musc.edu