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Dr Keilers is a family physician and the medical director of the Austin/Travis County Health and Human Services Medical Assistance Program.

Correspondence to Royce K. Keilers, DO, 6326 Rocky Creek Rd, La Grange, TX 78945-4418.E-mail: ekeilers{at}cvtv.net

Early screening of patients at high risk for type 1 or type 2 diabetes mellitus is key to early diagnosis and comprehensive treatment. Because osteopathic physicians predominantly practice primary care, they are well positioned to serve a leadership role in the fight against the dual epidemics of obesity and diabetes. This overview provides some important and helpful practice "jewels" to guide a primary care approach to screening, diagnosis, and treatment of diabetes.