 At Audiology Associates of Prestonsburg, you can live your life the way you want and find the freedom of better hearing. With 40 years of being in the hearing care industry, you'll experience patient care that is specific to you with exceptional follow-up care that ensures your hearing and balance needs are being met. Audiology Associates at 1428 Northlake Drive in Prestonsburg. November is National Diabetes Month, which works to boost awareness about the risk factors, symptoms and types of diabetes. We spoke to Public Health Director Tammy Riley about how you can prevent and manage diabetes. Currently, Kentucky is fifth in the nation for prevalence for diabetes. It's very important to Pied County residents to have the information that they need. Currently, Pied County has 13.8 percent, according to county health rankings, prevalence of diabetes. That is one out of six Pied County residents have documented diabetes diagnosis. Millions of Americans, Kentuckians and Pied County residents are pre-diabetic. Unfortunately, around 80 percent do not know that they're pre-diabetic. The big message is if you can catch the diabetes when it's in the pre-diabetic stage or prevent it entirely, it is manageable, reversible. So if you fall in the pre-diabetic stage, your diagnosis is reversible. One in four Americans have diabetes and don't know it. Symptoms of diabetes include frequent urination, excessive thirst, sudden weight loss, blurred vision, dry skin, and tingling hands and feet. So pre-diabetes is reversible or preventable. So we have a CDC-approved program called the Diabetes Prevention Program, DPP, and it's managed by a nurse who's on staff, Jessica Anderson, and she meets weekly with the individuals. They have weight loss goals, a lot of management, food intake, education. It's a wonderful program and the good news is it's free. It's free to Pied County residents to participate in our DPP program. If you've already received that diabetes diagnosis, then we assist individuals with the referral to what's called DSMES program and that's a program to help individuals manage their diabetes so that they can decrease their risk factors for a poor outcome. For more information, go to Pied County Health Department on Facebook. Reporting for Mountain Top News, I'm Brianna Robinson.