Diabetes is a pressing clinical issue in the United States, affecting 34.2 million people and accounting for nearly $250 billion in public costs annually (CDC, 2020). Diabetes disproportionately affects rural populations in the United States, with the CDC (2018) reporting 17% higher prevalence in rural areas. Compounding this problem are numerous factors that present as barriers to care, including primary care provider (PCP) shortages, distance to health clinics, limited transportation, lower income levels, and lower levels of education.