Inclusion Criteria:  HbA1c ≥ 7.5% at baseline measurement and 8.0% at least one time 12 months prior to study enrollment. At least one visit with Lone Star Circle of Care within the past 12 months (in person or telehealth) Willing to answer the PHQ-9 form in its entirety at baseline data collection (due to stratified randomization design).  Exclusion Criteria:  HbA1c < 7.5% at baseline measurement. Refusal to answer the PHQ-9 form in its entirety at baseline data collection. Moderate to severe cognitive impairment Currently pregnant (if of female sex) Undergoing cancer treatment Having diagnosis of end-stage renal disease or serious mental illness Having moderate to severe cognitive impairment Receiving systemic treatment with prednisone or immunosuppressant therapy following an organ transplant