Inclusion Criteria:  self-identified Latino(a) Spanish-speaking >/=18 years HbA1c >7% (>7.5% if >65 years) uninsured, <150% federal poverty level  Exclusion Criteria:  no show to all group visits recent blood transfusion patients at high-risk or not appropriate for care in a group setting e.g., pregnancy, severe cognitive impairment, frequent clinic appointments for labile glucose/medication titration e.g., insulin.