Program participants made significant (p<.05) improvements in health behaviors (exercise, diet, practice of relaxation techniques, examining feet, communication with provider). Similarly, health status improved as measured both by health-related quality of life variables (self-reported health, fatigue, physical discomfort, health distress, and role/activity limitations) and self-reported fasting blood glucose levels (p<.05). No significant improvements were found in health care utilization. There were trends, however, toward less utilization (specifically, less ER use and fewer hospitalizations).