Non-communicable diseases (NCD), including cardiovascular disease (CVD) risk factors such as diabetes (DM) and hypertension (HTN), are becoming an increasing burden in Sub-Saharan Africa (SSA). By 2030, NCDs are expected to eclipse communicable disease as the leading cause of death in Sub-Saharan Africa. Diabetes and hypertension require ongoing, daily management in order to prevent poor cardiovascular outcomes such as stroke, myocardial infarction, and other related complications including kidney failure. In SSA, the concept of family is critically important to performing daily DM and HTN management behaviors, such as following exercise and dietary recommendations, adhering to medications, and possessing the ability to purchase related goods. Furthermore, many DM and HTN management behaviors also serve as primary prevention. Including family in prevention and treatment strategies for NCDs in SSA may enhance existing interventions and programs by exposing the whole family to positive NCD prevention and management methods and ultimately produce better NCD outcomes for family members with existing NCDs and prevent NCDs in other family members. Specifically, we will discuss the results of several quantitative and qualitative studies that examine daily experiences with diabetes management in Senegal and how family and the health care influence daily care and management.