The United States is a collection of multicultural and diverse individuals and communities (Dreachlin, Gilbert, & Malone, 2013). People of every race, ethnicity, religion and diversity, each with their own uniqueness, now make up our healthcare system. However; in a certain sense we are all the same. Our bodies are all prone to disease. Currently, diabetes is the seventh leading cause of death in our nation. Diabetes is a systemic approach Since we are all physiologically the same, there are factors that must be addressed in all diabetics • Diabetes care Behaviors that require education and services: • Healthy eating - Dietitian • Exercise - Gym, weight management and achievement objectives • Taking medications - medications in pills, injectables, liquids and other forms - nursing education / monitoring • Glucose monitoring - managing blood glucose level and reactions - training nurses • Healthy management - May require evaluation and treatment mental health - mental health services • Risk reduction - monitoring blood pressure, maintaining personal health records and regular examinations of the eyes, feet and teeth - general practitioners, endocrinologists, cardiologists, ophthalmologists and dentists (Francis, 2007). • Culturally Competent Care What is our most powerful tool for providing culturally competent care? Listening Asking the right questions and evaluating the answers based on our cultural knowledge Cultural competence does not presuppose knowledge of a culture will provide all the information necessary to provide quality personalized care. Cultural competence means knowing which issues are relevant to each culture and asking the right questions. To illustrate our point we have chosen three diabetic patients with diversity ...... center of the sheet ...... health care services or assisting him in acquiring a resource person will provide him with every opportunity for success in his treatment (Sokol-McKay, 2012)Mr. Folkes' need for cultural competence is related to his disability. His problems are different from those of the other two patients as his diversity is related to his disability and not to his ethnicity or race. Disabled people receive better specialized care than in the past and often require multiple adjustments to their education and treatment plan to accommodate their disability. In conclusion, cultural competence is particularly relevant in the treatment of diabetes. Control of disease and symptoms in diabetes is interdependent on effective lifestyle management, which can only be achieved when the healthcare professional understands, recognizes and responds to the cultural and diversity needs of each individual..