Diabetes is a growing problem worldwide. Rates of diabetes are much higher in certain high-risk populations. Thus, a need exists for effective interventions that can be tailored to the needs and preferences of different populations. Diabetes is often a special concern for older African American women who have symptoms daily and must draw appropriate inferences from them. Symptoms are more than mere indicators of an underlying disease process. They indicate ways of knowing and understanding illness and can be effective guides or signals to implement appropriate self-care
