Purpose

Community-based diabetes screening is common, but its impact on health outcomes is unclear. Screening proto-cols may not be standardized nor reflect current clinical practice. A community and clinical team examined the quality and consistency of community-based screening to diagnose hyperglycemic states, and it developed a bilingual screening tool to allow screeners to present accurate, actionable results to participants. Methods The team interviewed providers and community mem-bers, analyzed forms and educational materials utilized by screeners, and observed local diabetes screening events. Researchers compared glucose parameters used by screeners to published guidelines and observed finger-stick techniques and protocols for education, referral