As director of the Division of Diabetes, Endocrinology, and Metabolic Diseases, my responsibilities include planning and implementation of a broad portfolio of basic and clinical research, including major clinical trials initiated or significantly co-sponsored by the NIDDK. I also manage several aspects of the trans-NIH coordination of diabetes research as chair of the Diabetes Mellitus Interagency Coordinating Committee (DMICC). I am responsible for coordinating the trans-HHS planning and implementation of a special appropriation for type 1 diabetes research, currently budgeted at $150M annually. Jointly with the U.S. Centers for Disease Control and Prevention, I am responsible for the development and implementation of activities of the National Diabetes Education Program (NDEP). I represent the NIDDK in interactions with professional societies and voluntary groups and in a wide variety of forums and working groups, including those within the NIH. I also provide patient care and teach at the Walter Reed Army Medical Center Bethesda endocrinology clinic.