Caring Others Increasing EngageMent in PACT

Inclusion Criteria: Patient Inclusion Criteria: * Provide signed and dated informed consent form * Plan to be be available for the duration of the study * Male or female, age 30-70 years old * Plan to get most diabetes care at recruiting VA primary care clinic over the subsequent 12 months * Able to use telephone to respond to bi-weekly automated Interactive Voice Response (IVR) calls * Be able to identify an adult family member or friend who is regularly involved in their health management or health care (involved with medications, managing sugars, coming to appointments, etc) * Have a diagnosis of diabetes and be at high-risk for diabetes complications, defined as: (1) a diagnosis of diabetes based on encounter diagnoses from 1 inpatient or 2 outpatient encounters (OR a diabetes medication (at least one \>3 month prescription from VA drug classes HS501 (insulin) or HS502, other than metformin), (2) have an assigned VAprimary care provider and at least 2 visits to VA primary care in the previous 12 months, (3) poor glycemic control (last HbA1C within 9 months \>8%) OR poor blood pressure control (last BP 160/100 or mean 6 month BP \>150/90) Care Partner Inclusion Criteria: * 21 years old or older * Fluent in English * Live in the United States Exclusion Criteria: Patient Exclusion Criteria: * Expect to have \>1 month gap in VA care in the 12 months following enrollment (e.g. snowbird travel). * Plan to receive the majority of their care for diabetes mainly from a non-…