Ancillary services are those services that provide exclusive room and board that fall into one of three categories: diagnostic, custody, therapeutic ad (Ancillary, nd.). An example of a diagnostic service is a laboratory service; the therapeutic example is a pharmacy; and an example of custody is diabetes monitoring. Ancillary services can be more convenient and save customers money. According to the CDC, diabetes is increasingly common and more than tripled between 1980 and 2011, from 5.6 million to 20.9 million (Diabetes Public Health Resource, 2013). Type 2 diabetes can be managed through diet and exercise. Type 2 diabetes is a disease formerly called "adult-onset" or "non-insulin dependent" in which the body does not. According to Page, the Medscape report showed that starting new ancillary services increased from 19 percent of physicians in 2013 to 21 percent this year. year of aging (Page, 2014). Getting started with diabetes counseling is minimal and no equipment is required. The benefits of this ancillary service are that it provides a new source of revenue for practices with a large number of diabetic patients (Page, 2014). The disadvantages are that the accreditation process is quite difficult, reimbursement rates are low, and diabetic patients may not want to use the services provided. With the rise of diabetes in the United States, the need for ancillary services is more practical. One of the trends impacting ancillary services is population. Life expectancy in the United States in 2011 was 78.7 years, while the average life expectancy for American men is 76 years and 81 years for American women (The Huffington Post, 2013). Most healthcare facilities focus on health promotion, disease awareness, and appropriate education to promote a healthier lifestyle. Cost plays an important role for treatment. Medicare covers most costs, but sometimes not all private insurance does and must be paid out of pocket. If members have to pay out of pocket, the sick patient will not go to the doctor to seek