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Strategies such as explicit goal setting with patients (453); identifying and addressing language, numeracy, or cultural barriers to care (454-456); integrating evidence-based guidelines and clinical information tools into the process of care (457-459); and incorporating care management teams including nurses, pharmacists, and other providers (460-463) have each been shown to optimize provider and team behavior and thereby catalyze reduction in AlC, blood pressure, and LDL cholesterol. Support patient behavior change Successful diabetes care requires a systematic approach to supporting patients' behavior change efforts, including (a) healthy lifestyle changes (physical activity, healthy eating, nonuse of tobacco, weight management, effective coping), (b) disease self-management (medication taking and management, self-monitoring of glucose and blood pressure when clinically appropriate); and (c) prevention of diabetes complications (self-monitoring of foot health, active participation in screening for eye, foot, and renal complications, and immunizations).