Data from these studies indicate that patients with diabetes are interested in receiving self-care education via ATDM calls. On average, Spanish-speaking patients selected optional self-care tips during 64% of their ATDM calls compared to 36% for English speakers (p < .0001). Spanish speakers also selected dietary education modules more often (52% versus 28%, p < .0001). After 12 months, most Spanish speakers and roughly one fourth of English speakers continued to select each message type and received a substantial amount of education as a result.