 The goal of this study is to improve cardiovascular disease CVD and cholesterol in African Americans adults with diabetes by addressing the modifiable risk factors of systolic blood pressure SBP, glycosylated hemoglobin Hb A1c, and low-density lipoprotein cholesterol LDL-C. We will evaluate the impact of a tailored CVD risk management intervention administered by nurses via the telephone. The intervention incorporates medication management and behavioral modification and will be tailored to the needs of vulnerable high risk subjects e.g. African Americans, low socioeconomic status, low literate. It will be integrated into community clinics, thereby enhancing the potential for benefit and generalizability to other settings. 