Direction Before Diagnosis

One Room. Earlier Insight. DTC helps existing clinics turn one dedicated room into a fully supported chronic-risk testing center for pre-screening, focused assessments, and provider-directed care pathways.

Screen. Test. Treat.

Diabetes Testing Centers™ (DTC) has evolved beyond diabetes-related risk detection into a broader chronic-risk testing platform for modern primary care. Designed to integrate inside existing PCP clinics using as little as one dedicated room, DTC helps primary care practices identify chronic-risk and connect it to focused, non-invasive assessment pathways inside the clinical workflow they already use. Our model is simple:

Screen using TriageIQ™.

Test with DTC assessments.

Treat through provider-directed care.

TriageIQ™ serves as the intake-level pre-screener that helps capture what patients report but rarely volunteer before it is missed, minimized, or left undocumented. DTC assessments help providers evaluate those signals when clinically appropriate through focused testing pathways that may support medical necessity, care planning, monitoring, referrals, or follow-up decisions. The treating provider remains responsible for diagnosis, treatment, monitoring, referrals, and patient care. DTC does not replace the provider’s judgment. It helps organize the path from early risk recognition to appropriate clinical action.

Most chronic diseases do not begin with a diagnosis. They often begin years earlier with subtle changes in how a patient feels, functions, moves, thinks, sleeps, sees, or tolerates daily life. Patients may explain these changes away as aging, stress, fatigue, pain, or 'just getting older'. Many never mention them during a routine visit unless they are asked in a structured way. That is the gap DTC is designed to close.

By capturing these early indicators at intake, documenting them while the patient is already present, and connecting them to DTC assessments when appropriate, practices can create a clearer path from early risk recognition to timely testing, monitoring, referral, or provider-directed care.

DTC was founded by former family practice owners who saw firsthand how often chronic risks are missed until patients have already begun suffering preventable damage. That experience, combined with enterprise healthcare leadership in diagnostics and diabetes, shaped DTC’s development of scalable, non-invasive, billable programs for modern primary care.

DTC adds structured pre-screening, focused assessments, and triage routing without a separate clinic or disruption to daily operations. Today, with access to a national network of more than 20,000 independent practices, DTC helps providers bring earlier detection, focused testing, and appropriate care direction into the clinical workflow they already use.

No separate clinic.
No major workflow disruption.
No waiting for silent risks to surface as complications.

The visit does not change, only the clinical insight it produces does.

Find Signals Sooner

Test From Anywhere

In-Clinic or At-Home

The earliest warning signs appear where the patient is — in symptoms and functional changes that show up before they're documented in the chart. That’s why TriageIQ™ is designed to support intake both in-clinic and at-home, giving providers a consistent way to capture what patients report before the visit, during intake, or as part of remote outreach.

Adults represent the largest immediately addressable clinical population and carry the greatest overall burden of chronic disease risk. TriageIQ™ Adult helps pre-screen patients across five core clinical domains, giving providers a broader intake picture before deciding whether focused single-domain screeners, assessments, testing, or additional diagnostic pathways may be appropriate.

👥 Population Health: A broad baseline view of patient risk and care-navigation needs.
❤️ Cardiometabolic: Related to metabolic, vascular, and cardiovascular risk direction.
🧠 Neurological: Supports early recognition of brain, nerve, balance, and functional-risk patterns.
🧩 Behavioral: Helps surface behavioral, emotional, sleep, and whole-person risk signals.
🚶 Pain & Function: Related to pain burden, movement, daily activity, and physical function.

TriageIQ™ is a proprietary 3-minute adult multi-domain pre-screener that helps identify potential risk signals across five clinical domains and supports provider review for medically necessary follow-up.

Turn Intake to Insight

Testing Risk Signals

what others miss

The clinical case for earlier testing is not theoretical—it is measurable, documentable, and supported by written patient-reported findings captured at intake. By converting what patients may already be experiencing into structured documentation before the provider encounter, practices may better support the clinical rationale and medical necessity for appropriate follow-up testing, assessment, monitoring, or care planning.

Chronic damage accumulates long before symptoms become obvious, leaving providers to intervene later when care is more reactive, costly, and complex. The challenge is that most primary care workflows are not built to consistently capture risk during that earlier window. Patients present with a chief complaint. Providers respond to what is reported. But what is not reported—early nerve changes, subtle cognitive shifts, vascular changes, behavioral health burden, or functional decline—may be missed when intake is not structured to pre-screen across multiple domains and guide appropriate follow-up testing.

DTC exists to help practices find what others miss and act on those signals through earlier, more accessible testing. By connecting structured pre-screening with focused in-clinic or remote testing, DTC helps providers identify risk earlier, support medical-necessity documentation, and guide patients toward appropriate next steps before silent risks become serious complications.

The providers who benefit most are not adding complexity. They’re unlocking clinical value already present in their existing patient panel and visit flow by using a structured pathway to surface risk earlier, document it clearly, and move patients toward timely care.

Test Patient Signals

Following National Guidelines

National guidelines are clear. What is less clear in most busy practices is how to meet them consistently within existing visit structures without adding staff, extending appointment times, or relying entirely on provider recall. Until now.

Many guidelines and quality measures are organized around a single condition, a single risk category, or a single clinical domain. But real-world care does not happen one domain at a time. In primary care and specialty clinics, patients often arrive with overlapping risks, incomplete complaints, and silent conditions that may not be obvious during a short visit.

That is where our proprietary TriageIQ™ creates a significant value. As a multi-domain pre-screener, TriageIQ™ helps identify potential risk signals across multiple clinical domains at intake. Those signals can help the provider determine whether a focused single-domain screener, assessment, diagnostic test, or care pathway may be clinically appropriate. Instead of relying entirely on time, memory, or chance, TriageIQ™ gives practices a structured front-end process to identify potential concerns earlier and organize them for provider review.

Important clinical significance: Diabetic peripheral neuropathy (DPN) testing deserves specific attention because it may be one of the earliest measurable warning signs of broader metabolic, vascular, neurologic, and functional decline.

Small fiber changes may reflect early metabolic dysfunction, impaired glucose tolerance, autonomic involvement, or inflammatory/vascular stress before symptoms are clearly reported.
Large fiber involvement may indicate loss of protective sensation, increasing concern for balance impairment, falls, foot ulcers, wounds, infection, and amputation risk.

DPN is not only a foot-health concern, it may be one of the earliest visible warning signs—helping providers determine whether additional focused pathways may be clinically appropriate.

Neuropathy May Signal More

getting started

DTC organizes the path from screen to test. Start by improving intake with multi-domain pre-screening. From there, patient-reported signals help reveal where focused screeners, assessments, testing pathways, or referral opportunities may already exist inside your practice.

Getting Started Is Simple:

Start with TriageIQ™ at Intake
Use TriageIQ™ as the front-door multi-domain pre-screener to identify potential risk signals quickly and consistently at the beginning of care.
Review the Risk Signals in Your Patient Population
As results are collected, your clinic can see which risk domains appear most often and where focused screeners, in-house assessments, testing, or referrals may be most appropriate.
Prioritize the Highest-Impact Testing Pathways First.
TriageIQ™ creates value at intake immediately. Some patients may warrant next-step review, focused assessment, or testing right away, while broader clinic patterns typically become clearer within the first 30 to 90 days of consistent use.

Schedule a Meeting to Build Your Rollout Plan. We’ll help determine the best starting point, review program options, and provide a financial pro forma based on your location, workflow, and payor mix so implementation begins with a clear path to deployment.

Start Here

Test Before You Refer

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