With seven children, 15 grandchildren and seven great-grandchildren, Roselle Hartsfield has a lot to live for. But even the 84-year-old East Orange resident acknowledges that the condition she's struggled with since her 50s - diabetes - has put her long-term well-being at risk.

"I have glaucoma in my eyes and two years ago, two of my toes got so badly infected that I had to go into a hyperbaric chamber for 39 days to avoid amputation," she said.

"I know that diabetics who don't take care of themselves can lose a limb, go blind, have kidney failure, or even have a stroke or a heart attack," she said. "I don't want to go on dialysis, but if I have to, I will," Hartsfield said stoically, "because if I don't, I'll pass away."