This graphic shows the short-term, intermediate, and long-term outcomes that diabetes control programs aim to achieve and how these outcomes are linked. Short-term outcomes include 1) improved program leadership and effective and appropriate partnerships; 2) strategic state planning and commitments; 3) responsive and effective programs; 4) targeted communication and outreach campaigns; 5) systems to monitor diabetes trends and evaluate the program's impact; and 6) a stable funding base for diabetes public health programs. If these critical short-term outcomes are achieved, they will lead to changes in the knowledge and attitudes of people at risk for diabetes, health care providers, and managed care organizations.  These changes in knowledge and attitudes will then lead to the achievement of the following intermediate outcomes: 1) individual behavior changes among consumers and providers; 2) policy and environmental changes; and 3) changes in health care systems. If these outcomes are achieved, then the following public health outcomes will result: 1) a higher percentage of people with diabetes will improve their self-care, become more physically active, and improve weight control; and 2) a higher percentage of people with diabetes will receive annual eye and foot exams, semi-annual A1C tests; and routine flu and pneumococcal vaccinations. These intermediate outcomes will eventually lead to the following long-term outcomes among people with diabetes: 1) fewer hospitalizations; 2) fewer amputations; 3) reduced blindness ; 4) better health-related quality of life; 5) delayed death; and 6) decreased disparities in diabetes outcomes.