Johnston County Public Health Department

Contact Us

Johnston County
Public Health Department

517 N. Brightleaf Blvd.
Smithfield, NC 27577
Phone: (919) 989-5200

  Mon.-Thurs., 8:00 a.m. to 6:00 p.m.
  Friday, 8:00 a.m. - 5:00 p.m.

Public Health Director:
  Dr. Marilyn Pearson

Clinic Fax Numbers:
  Medical Records: 919-989-5278
  Primary Care: 919-989-5279
  Epidemiology: 919-989-5287
  Family Planning:  919-989-5266
  Maternity:  919-989-5266
  Child Health: 919-989-5199
  WIC: 919-989-5298

  Public Comment form

  JCPH Events
  JCPH Programs and Services

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JCPH Tobacco-Free Policy

Accredited Health Department

Click here for the JCPH Holiday Schedule

Johnston County North Carolina

Pre-Diabetes & Diabetes Information

Diabetes Prevention Program (DPP)

A one-year lifestyle change program focusing on healthy eating and increasing physical activity to decrease the risk of developing type-2 diabetes. This program is only for those not diagnosed with type 1 or type 2 diabetes. The class meets once a week for 16 weeks, and then once a month for 6 more months. 

CDC Curriculum Prevent T2, The curriculum is proven to help people with prediabetes prevent or delay development of type 2 diabetes.

Upcoming cohort begins: September 10, 2024.

Call Mary Banks at 919-989-5200 for information on upcoming classes.

Diabetes Symptoms and Information

Early Symptoms of Diabetes

  • Increased Hunger and Excessive Thirst
  • Frequent Urination
  • Increased Fatigue
  • Sudden Weight Gain or Loss

Later Symptoms of Diabetes

  • Blurred Vision
  • Numbing or Tingling in Feet
  • Slow to Heal Wound
  • Persistent Fungal Infections
  • Diabetes affects your Heart, Eyes, Feet and Kidneys

More Information and Resources

North Carolina Diabetes Umbrella Program (DERP)

According to the American Diabetes Association (ADA), diabetes is a chronic disease that affects more than 18 million people in the United States. Self management education is critical to the medical care of the diabetic. To address this issue, the NC Division of Public Health has developed a recognized “umbrella” program with the ADA to provide self-management diabetes education in local health departments. ADA recognized programs can bill Medicaid, Medicare and have a sliding scale fee for self pay clients. North Carolina is the only state to provide an umbrella program.

The Diabetes Umbrella Education Program includes the following curriculum: disease process, diet, exercise, medication review and education, foot care, acute and chronic complications, mental health adjustments. Clients are required to set and sign patient centered goals for their diabetic condition at every encounter. The staff will measure their success and barriers at each assessment or class. On average the clients that have completed the Umbrella Program will have a decrease in their Hgb A1C by at least one point, weight reduction and are monitoring their blood glucose level independently on a regular basis.

We welcome clients to the Johnston County Diabetes Umbrella Program. However, to participate, you must be referred. ADA-recognized programs can bill Medicaid, Medicare and have a sliding fee for self pay clients. This program allows Private Providers in the County to refer their patients for Diabetic education which includes the following:

  • Disease process
  • Diet
  • Exercise
  • Medication review
  • Acute and chronic complications and mental health adjustments

Clients are required to set and sign patient-centered goals for their diabetic condition with each encounter.

Referrals to the Johnston County Diabetes Umbrella Program (DERP)

  • Every patient needs a signed referral form from their Primary Care Physician.
    • Lab Values are required on the form.
  • Once the Health Department has the signed form, an assessment is completed by an RN or an RD. This assessment takes an hour to complete.
  • Each Patient will receive eight total hours of class time (2 4-hour sessions) after completed assessment.
  • The classes are done in a group setting or individual if needed.
  • There is a three month check in from the date of the class, the patient will need to return to the Health Department for a one-hour follow-up group session.
  • A total of ten hours is required for the program.
  • Once the patient completes the program, the patient will receive a follow-up appointment to come back for two hours of education every year.

We welcome clients to the Johnston County Diabetes Umbrella Program. The JCHD Umbrella Program Physician Referral Forms are linked below. Your referral along with copies of the clients most recent lab values can be faxed to 919-989-5279.

Our goal is to provide the highest possible care for our clients.


Page last updated on:  May 15, 2024