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Purpose: Implement a confidential and low cost method to identify employees with undiagnosed diabetes. Methods: Blood samples from fasting plasma glucose measurements obtained by a third party vendor from the annual employee health risk assessment data were rerun at a cut-point of 117 mg/dL or greater to obtain a hemoglobin A1c (A1c) value. Individual letters were sent from the third party vendor to employees with a HbA1c value of 5.7% or greater informing them of an employee diabetesfatcat:ae6etj4t7zexfcw4r7ssm3isfm