Participants in the current study had significant improvement in A1c, and the improvement in glycemia was similar to that observed previously. Look AHEAD participants in the intensive intervention had a mean reduction in A1c of −0.643% at 1-year.34 A 6-week group-based intervention, which included diabetes education, cognitive behavioral approaches, goal-setting, and problem-solving regarding diabetes management, observed a mean reduction in A1c of −0.82% at 3-months.38 Mean reduction in A1c was −0.27% following four 2-hour group-based DSME sessions in primary care patients.39 A pilot study that involved implementation of an 8-week mindfulness intervention resulted in a mean reduction in A1c of −0.48% 1-month following the intervention.19Thus, glycemia was improved in both DSME-based and mindfulness-based interventions in the current and prior studies. A reduction in A1c of −0.67% to −0.83% observed at 3-month follow-up in this study, if sustained over the long term, could result in significant reduction in microvascular and cardiovascular end points.40–42