After the DMCP was abruptly closed at clinic A, it was subsequently reestablished at clinic B. At this site, diabetic patients were randomly selected from a clinic in which county physicians teach internal medicine residents (the first patient who agreed to join the study each morning and afternoon clinic until 175 patients were enrolled). A total of 114 diabetic patients have completed 1 year in the DMCP (staffed by one nurse) and have been returned to usual care. As expected, their demographics were similar to the control patients in clinic B in Table 1; 99% had type 2 diabetes, 74% were female, their average age was 49.5 10 (mean SD) years, the average durationof diabetes was 6.7 years (range 0–30), 23% were African American,