86 million Americans are pre-diabetic, and 90% of these individuals are unaware of their condition and many will convert to frank diabetes without intervention. This looming epidemic will bankrupt our health care system without intervention. The dental office is an ideal place for diabetes monitoring and screening. It is estimated that over 28% of patients presenting to the dental office have undiagnosed diabetes or prediabetes. Preparation of oral healthcare providers to have a positive impact on this epidemic is essential along with knowledge of devices needed to screen for and monitor diabetes/prediabetes such as glucometers and HbA1C devices.