The biggest problem here is a lack of an integrated health system that keeps the medical "to do" list prioritized based on evidence based impact. Instead we play "whack-a-mole" with whatever happens to stay on the patient's mind...
Gestational Diabetes and later risks
126 Million Americans with Diabetes or Glucose Intolerance
America does have awesome medical capability, we just don't deliver it where it's needed! This is where other systems get a lot more bang for the bucks they put in.