Inclusion Criteria:  Age greater than 50 years Diagnosed care of DME who had not underwent treatment elsewhere Received at least one laser treatment or pharmacotherapy Attended at least one follow-up clinical visit Patients willing to learn, listed to others and talk about themselves. Patients who have access to smart phone.  Exclusion Criteria:  Patients with ocular co-morbidities other than DME Patients refusing to abide by group guidelines and demonstrating serious problems with interpersonal relationships. Contrary to popular opinion, people who do poorly in groups. Difficult patients who are self-centered.