There were no significant differences between ILS participants and participants in the other two treatment groups in vitality and mental health score changes. The Role - Emotional score in the ILS group is approximately one unit lower than the others over time post - diabetes, but this difference does not reach statistical significance. Collectively, the data regarding treatment effects support our hypothesis that subjects in the intensive lifestyle arm would react more negatively than subjects in the other two treatment arms, but in somewhat selective ways. In particular, subjects in the lifestyle arm did report a more negative effect initially following diagnosis on quality of life for the PCS scales and some of the mental compoment subscales.