The identification of effective treatment approaches that improve diabetes outcomes is necessary to meet the educational needs of the escalating diabetes population. People with diabetes need the necessary knowledge and skills to modify behavior and successfully self-manage the disease. Few randomized trials have been conducted to compare alternative models for delivering patient education and MNT. DSME is widely endorsed through diabetes practice guidelines.4 However, little research has evaluated the impact of mindful eating on diabetes outcomes. Results from the current study indicate training in mindful eating is feasible, well accepted, and effective in promoting modest weight loss. Prior research found behavioral lifestyle interventions, similar to the MB-EAT-D and SC interventions, which provided instruction, modeling, goal setting, and problem-solving also helped participants integrate diet and physical activity behaviors into their self-care and facilitated improvement in glycemic control.5,38 The availability of multiple effective educational approaches to diabetes self-management will likely improve treatment adherence among patients and is a necessary first step in treatment evaluation. However, educators and clinicians need to know not only that a treatment works on average but also which intervention works best for specific types of patients and the conditions under which each treatment is most effective. The answer to these questions was beyond this pilot study, and future research is needed to determine delivery of the right educational approach to the right patient at the right time.