The Initial population in the measure suggests:
AND "Diagnosis, Active: Diabetes" overlaps "Measurement Period"
AND: Age >= 18 year(s) at: "Measurement Period"
AND: Age < 75 year(s) at: "Measurement Period"
AND: Union of:

"Encounter, Performed: Office Visit"
"Encounter, Performed: Face-to-Face Interaction"
"Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up"
"Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up"
"Encounter, Performed: Home Healthcare Services"
"Encounter, Performed: Annual Wellness Visit"
during "Measurement Period"

Should the patient qualify for numerator in the below scenario:
1. Diagnosis active in the measurement period but inactive at the time of encounter.
2. Valid encounter during the measurement period.