Please select the eligibility criteria that correspond to the clinical trial below.
Title: Dulce Digital-Project Dulce 2.0 Texting Study in High Risk Latinos With Diabetes
Brief Summary: Randomized controlled trial testing the efficacy of a text messaging intervention in a low income, low health literacy group of Latino patients. Project Dulce 2.0 (PD 2.0) will address barriers to participation in health education classes, increasing adherence to treatment and medications and improving diabetes self management behaviors and skills. Two community clinic organizations that provide services to a large proportion of Latino patients with type 2 diabetes will participate to randomize 200 patients into one of 2 arms: standard diabetes management care (control) only or text messaging and standard care. Comparisons between groups will evaluate clinical, behavioral and psychosocial outcomes.

Intervention: Standard Care and Text Messaging. All participants will receive standard diabetes care provided by primary care providers at the clinic. Of the 100 that are randomized to the intervention arm will be given instructions on how the text messaging component will be addressed throughout the duration of the study.


Options:
A: Inclusion Criteria:

* All diabetic veterans with a Hb-A1c between 7.0- 9.0 % within the last 6 months will be eligible for the study

Exclusion Criteria:

* Patients without an Hb-A1c checked within the last 6 months.
* Patients who are unable to attend the group sessions, either because of lack of transportation, psychiatric instability (suicidal, psychotic), or organic brain injury that preclude them from diabetes self-care.
B: Inclusion Criteria:

* Ages 18-75,
* Type 2 DM,
* Enrolled at community health center,
* Latino ethnicity,
* non Project Dulce participant,
* HbA1c\>/= 8%, must be able to read

Exclusion Criteria:

* Have a severe illness precluding frequent visits to the clinic,
* have a severe medical condition, poor mental function or any other reason to expect patient difficulty in complying with the requirements of the study, any history of malignancy, except subjects who have been disease-free for \>10 years, or whose only malignancy has been basal or squamous cell skin carcinoma,
* patients who have a creatinine level greater than 3.5,
* any history of drug or alcohol abuse within 12 months prior to the study,
* those who are not a permanent resident in the area.
* Patients who are not willing to use a cell phone with texting capability.
C: Inclusion Criteria:

1. Adults aged 18 or greater
2. The diagnosis of type 2 diabetes of the subjects should be 1 year or more prior to the inception of this study
3. Subjects will be on medication treatment for their type 2 diabetes
4. Subjects' A1C levels should be higher than 7% for study entry
5. LDLc\>100mg/d\*l or
6. Blood Pressure \>130/80\*mg/dl
7. Any combination of the #4, 5 \&6 At least one visit to the practice within the previous 12 months.

Exclusion Criteria:

1. Non-ambulatory
2. Gestational diabetes
3. Pregnant women (by self-report)
4. Subjects have received diabetes education services performed by the registered nurse from UPDI
5. Subjects are treated with exercise and diet only
6. Subjects are participating or will participate in other research studies
7. Subjects do not have insurance or cannot afford payments for diabetes care/treatment
8. Subjects are unable to read and comprehend English
9. Subjects are unable to provide informed consent
10. Other medical conditions for which these protocols are deemed inappropriate by the physician.
D: Inclusion Criteria:

* Provision of informed Consent
* Patients suffering from diabetes type II, insulin dependent or not insulin dependent.

Exclusion Criteria:

* Type I diabetes
* Pregnancy diabetes
* Hospitalisation, as this is a primary care study
* Patients who are member of the Belgian Diabetes Convention

Answer: B