ifty-eight percent (n = 92) of eligible class attendees participated. The primary language for all participants was English. There were no differences between participants and nonparticipants in age, sex, race, education, or HbA1c (P > 0.05). Of the participants, 77% had adequate and 23% had limited (8% marginal, 15% inadequate) health literacy. Lower literacy was associated with being older, having less education, lower annual income, and more self-reported diabetes complications (P < 0.05) (Table 1). There were no differences in years with diabetes or level of social support received from family or friends. At baseline, patients with adequate health literacy had better knowledge of diabetes (P = 0.014), but health literacy was not associated with HbA1c or self-management behaviors.