Diabetes is a leading cause of chronic kidney disease, which leads to end-stage renal disease. Chronic kidney disease is a leading cause of personal suffering and increasing health care costs. Nearly 25 percent of the Medicare budget is used to treat people with chronic kidney disease and end-stage renal disease (https://www.healthypeople.gov/2020/topics-objectiv...). Besides chronic kidney disease, diabetes is also a leading cause of cardiovascular disease, personal suffering and increased health care costs. Diabetes can be prevented, or at least its onset can be delayed. Monitoring indicators and outcomes associated with chronic kidney disease and diabetes helps Vermonters stay on a track for disease prevention.