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Regional Health offers services for the prevention, diagnosis, treatment, and management of diabetes. The American Diabetes Association recommends diabetes education when diagnosed, when problems arise, and yearly and studies show that education helps improve outcomes including lower blood sugar levels. 

Regional Health also offers metabolic surgery which can treat diabetes without the need for further medication in up to 88% of cases. For more information on metabolic surgery, please visit the Bariatrics and Weight Management page.


Diabetes self-management education gives you the skills you need to learn to control your diabetes. You will:

  • • Learn what diabetes is and how to manage it
  • • Learn skills for managing a lifetime disease
  • • Learn how your medication works
  • • Learn how to monitor and interpret your blood glucose
  • • Learn how food affects your blood glucose and how to eat healthy for a lifetime
  • • Learn the benefits of activity and how to make it a part of your life
  • • Learn to prevent complications
  • • Continued motivation for good health

Most insurance plans and Medicare/Medicaid cover diabetes education. Check with your plan.

Diabetes self-management education classes are offered at the following locations and a physician's referral is required to register:

  • • Custer – Regional Health Medical Clinic Montgomery Street 
  • • Lead/Deadwood – Regional Health Medical Clinic Charles Street
  • • Rapid City – Regional Health Medical Clinic Flormann Street
  • • Spearfish – Regional Health Medical Clinic North 10th Street
  • • Sturgis – Regional Health Medical Clinic Junction Avenue 

The following programs are available:

  • Self-Management (individual and group classes available): If you have diabetes, these classes can help you gain confidence in managing your own personal health. These classes include an individual assessment, a review of diabetes disease process, healthy eating, being active, taking medications, monitoring, problem solving, reducing risks, healthy coping.
  • Advanced Insulin Management: Will teach you to safely make changes in insulin doses, using protocols established by our endocrinologists. You will work closely with diabetes educators to improve your diabetes control.
  • Gestational Management Education: Will provide education to maintain blood glucose control during pregnancy and reduce your risks.
  • Insulin Injections: How to use insulin tools, such as insulin pens.
  • Insulin Pump Management: This program includes clinical screening of skills necessary for insulin pump use, technical training on the pump, outpatient pump starts, recommended dosage rates, and making minor changes in insulin doses.
  • Medical Nutrition Therapy: A consultation with a Registered Dietitian; topics may include carbohydrate counting, understanding nutrition labels, meal planning, nutritional management of weight, lipids, high blood pressure, and celiac disease.
  • Pre-conception and Pregnancy Management: Designed for women with diabetes who are planning to have children.
  • Diabetes and Diabetes Prevention Support Groups: This is for those with diabetes or those at risk for diabetes as well as their family members and friends. You need not have participated in the Diabetes Education or Diabetes Prevention Program to participate. It is free and no pre-registration is needed. 
  • Continuous Glucose Monitoring System: This test is a way to measure blood sugar, also known as blood glucose, levels in real-time throughout the day and night.  It requires wearing a monitor for at least three days. 


Assessment and education costs vary according to your needs. You are billed for the amount of time you spend with the educator. Group class rates are less than the individual education. Please call for current rates.

Many insurance companies and Medicare Part B cover these costs after deductibles are met. Some companies require pre-authorization. Ask about diabetes self-management training, not diabetes education. If you have questions about what is covered, please contact your insurance company prior to your appointment.



One in three American adults have prediabetes most people with prediabetes don’t know they have it (CDC, 2017) – DO YOU? Click here to take the prediabetes risk test.

If you have prediabetes, getting type 2 diabetes doesn’t have to be a sure thing. In fact, prediabetes can often be reversed. Research showed people with prediabetes who take part in a structured lifestyle change program can cut their risk of developing type 2 diabetes by 58% (71% for people over 60 years old). 

The National Diabetes Prevention Program (NDPP) is a proven lifestyle change program that provides participants with the tools and support needed to reduce their risk of developing type 2 diabetes. The NDPP has been shown to help people lost 5% to 7% of their body weight through healthier eating and 150 minutes of physical activity a week. The program consists of at least 22 one-hour group sessions that meet over the course of a year. Participants must be 18 years or older and meet criteria that show diabetes risk.

Start reducing your risk of developing type 2 diabetes today by enrolling in the NDPP offered at the following Regional Health locations:

  • • Rapid City – Regional Health Medical Clinic Flormann Street
  • • Spearfish – Regional Health Medical Clinic North 10th Street

There is a fee to participate in the NDPP. Call to get pricing information and to learn how to enroll.