Team care is essential for effective diabetes prevention and management. Team structure is best determined by the practice setting. Teams should be led by the most appropriate health care professional, and may include primary care physicians, diabetes educators, endocrinologists, dietitians, nurses, nurse practitioners, pharmacists, physician assis- tants, psychologists, dental professionals, exercise professionals, social workers, specialists for care of the eye, foot, heart, and kidney, and others as necessary. Many of these team members also may be certified diabetes educators. Trained lay educators such as “promotores” and community health workers can be effective team members. Other elements of importance to the delivery.