 EMMA is a concept consisting of a number of dialogue tools for use in diabetes consultations see below. The concept was, in its original form tested, in a feasibility study N 19 T2D in 2011-12. The study showed significant reduction in HbA1c EMMA: median decrease of 2.0 mmol mol -1.0 to 3.0 versus control: median increase 2.5 mmol mol -2.0 to -4.5 p 0.05 Varming 2012; Andrésdóttir 2014. The investigators have been collaborating with the Danish group who have developed the EMMA protocol and have developed training programs to support the diabetes educator in the delivery of the intervention. The use of the EMMA method is very consistent with motivational communication and behaviour change counselling. The investigators plan to conduct a small scale randomized comparison trial of the EMMA method with diabetes services at the NSHA Central Zone. 