<qa>  What is the name of the study that will divide 150 patients into 2 arms?Patients who are 40 to 79 years old, and who have had at least three visits with a primary care physician will be the focus of the study. Patients will be recruited by letter, co-signed by the PCP and the study P1 A second letter will be sent 2 weeks after the first. After an intake visit, random allocation will divide 150 patients into 2 arms, one a series of 3 NP-led group classes and the other, usual care. Baseline data, including blood pressure control, foot and retinal examination rates, serum lipids, Alc, microalbumin, pneumococcal vaccination, smoking status and counseling, and ASA and lipid medication use will be assessed at enrollment and again at completion of the study. In addition patients will complete a diabetic knowledge scale, quality of life assessment SF- 12 and ADA patient satisfaction survey. Several measures will be gathered both by chart review and oral administration of the CDCs BRFSS 2002 diabetes module survey, permitting cross validation. Statistical analysis of the differences between proportions 2x2 for independent samples will be performed using chi-square. Preliminary power analysis Power Precision; Biostat, Englewood, NJ suggests adequate power using Fishers exact test, alpha beta 0.1, assuming reasonably achievable effect sizes for at least several intermediate outcomes. 