I do understand what you mean Nancy. We drive about 20 minutes to a small city located here. They have offered a nutritional training course for six weeks with a Certified Diabetes person for six weeks to train diabetics how to properly shop and how many carbs to use and etc. But that is all. The endo that Hal finally is going to see is new in town and travels here for two days a week from a major city. He is the first one in town I believe.
Back home we were pretty isolated where I lived. PCPs treated diabetes with what knowledge that they had. Had to travel a hour to get to the major city of Tucson to even home to get an education from a certified diabetes expert and a lot of traveling to complete that course over six weeks. If we wanted to see an endo doctor we would have had to have travel into Tucson, and no telling how far. No one from back home was referred to an endo. There are definitely disadvantages in living in rural Arizona. You have to travel long distances to get to major cities to get the best doctors. All the other specialists were in Tucson too for various specialists with a lot of traveling. If you didn't have transportation and gas for the long trips you were just out of luck.
In the little city we travel too is about 15 to 20 minutes and has a hospital and specialists. Lord help me if there ever comes a time that Hal won't be able to drive because I don't drive. The shuttle services from the city come here but I used it once and it cost me $80 back and fourth. I can't afford that and only used it once when Hal was in ICU.
The older we are and the more health problems we have the more I wish that we could afford to move to the little city. There are no doctors at all in the little town that we live in but we do have good transportation in an emergency to get to the ER at the hospital in the little city. That is something.