Another intervention included teaching and counseling modules based on common symptoms experienced by individuals living with diabetes. The modules were individualized to allow participants to choose the priority order of the modules and which self-management strategies to use. Modules included symptoms of hyperglycemia and hypoglycemia, numbness and tingling in the feet, and prevention of cardiovascular symptoms. Following the intervention, improvements were noted for diet, medication, and foot care self-management practices (Skelly et al., 2009). Therefore, diabetes education must focus on identifying specific needs of individuals with T2DM and addressing those needs over time.