Purpose: In California, nearly half of all adults have prediabetes or diabetes. In Fresno County, an even higher percentage is present in minority communities. Due to the lack of research on the culturally specific and socioeconomic barriers to care for these patients, this study focused on furthering research in these regards at United Healthcare Center Fowler, a community healthcare center in Fowler, CA. Methods: A mixed-methods approach to identify barriers to care in Fowler, featuring both surveys and interviews. Surveys were based on the Diabetes Self-Management Questionnaire-Revised (DSMQ-R) and self-reported barriers the patients were facing. Surveys were offered in English and Spanish. Barriers listed included diet, knowledge regarding diabetes management, and issues related to doctor's appointments, among others. Interviews were conducted voluntarily and limited to those with HbA1c levels greater than 5.7%. They focused on three topics: a personal story related to their life with diabetes, their self-management of diabetes, and their biggest struggle to self-manage diabetes. Results: The most notable barriers to the management of diabetes in Fowler were lack of access to affordable, healthy dietary options and maintaining a diet that was both healthy and culturally specific, both of which greater than 50% of patients reported as barriers. Conclusion: By identifying that barriers to dietary options are a vital barrier in managing diabetes in the Fowler community, we can anticipate future interventions to ease this burden, including CalFresh pamphlets regarding healthy food options, as well as patient-specific nutritional counseling that factor in the cultural aspects of their diets.