Case 1: Mr. Herman Cruz, a 57 year old man who has diabetes and is obese, is visiting a new primary care provider. He is being seen as a patient for the first time in the Pine Tree Family Medicine Practice.  He is accompanied by his sister, Ms. Scott, and an aide from the group home where he has been living for one week.  Mr. Cruz had previously lived with his mother until her recent death at age 83.  The reason for this visit is that Herman, who has an intellectual disability (ID), needs a plan for managing his diabetes in his new home and also needs a refill on his prescription for insulin.