After randomization and at 6 months, participants assigned to UC received a 1-h individual weight loss counseling session with a dietitian. In the first session, participants were advised to consume a deficit of 500–1,000 kcal/day to achieve a weight loss of 10% of initial weight. Participants were encouraged to use web-based tracking programs that guide toward the macronutrient distribution recommended in the Dietary Guidelines for Americans (20–35% [average 30%] of energy from fat, 45– 65% [average 55%] from carbohydrates, and 10–35% [average 15%] from protein) (13). Counseling and print materials encouraged strategies and skills for weight loss and maintenance (e.g., estimating portion sizes, self-monitoring). This session was followed by monthly check-in through e-mail or telephone calls, and progress was discussed in the follow-up counseling session. Participants in UC also received a standardized checklist of recommendations for general diabetes care, including regular glucose monitoring, awareness of symptoms of hypoglycemia and hyperglycemia, and the importance of adherence to prescribed medications and good hygiene practices.