 Upon enrollment, each eligible, consenting subject will be surveyed about demographics, health behaviors exercise, diet, medication compliance and treatment barriers, social and medical environment experiences of discrimination, John Henryism, PHQ2, social support and stress, diabetes knowledge and communication. The entire interview would take approximately 60-90 minutes. If the interview cannot be completed at that time, we will ask permission to call the subject at home to complete the interview. After subjects have completed the measurement battery, they will be randomly assigned to be in one of the two groups. The entire study randomization will occur before patient enrollment begins and this will be maintained in a central site away from the enrollment site. 