See the role played by the RN Care Manager at one LEAP site, in following up on diabetic patients. This table describes the important follow-up to provide for diabetic patients in between provider visits, both in-person and by phone. For example, for patients with high risk or poor control (A1c of 9 or higher), the Care Manager follows up 2 weeks after a provider visit, followed by a series of other follow-ups for at least 4 months.