The objective of this study is to compare the effectiveness of a novel program-Family Support for Health Action (FAM-ACT) - to individual patient-focused diabetes self-management education and support (I-DSMES).
Patient Inclusion Criteria: 1. Have a diagnosis of Type 2 diabetes 2. Most recent HbA1c done in the 3 months prior to screening phone call \>= 7.5% 3. Plan to use recruiting site for health care over the next 12 months after enrollment 4. Must be able to identify a family member or friend who is willing to be involved in their health care Patient Exclusion Criteria: 1. Diagnosis (active or prior) of Alzheimer's disease or dementia 2. Preferred language is not English or Spanish 3. Diagnosis (active or prior) of schizophrenia or other psychotic/delusional disorder in CHASS EMR Problem list as of screening call date 4. Diagnosis of gestational diabetes without any other diabetes diagnoses 5. Diagnosed with diabetes at age \< 21 years 6. Pregnant or planning to become pregnant in the next 12 months 7. Concerns that may make it difficult to participate (ongoing health issues, personal events, etc.) 8. Have a life-limiting severe illness (e.g. chronic obstructive pulmonary disease requiring oxygen) Support Person Inclusion Criteria: 1. Able to attend intervention sessions in person or remotely via online video-conferencing 2. At least 21 years old Support Person Exclusion Criteria: 1. Does not speak English or Spanish 2. Receives pay for caring for the patient 3. Has self-reported serious mental illness (schizophrenia) 4. Has a life-limiting severe illness (e.g. chronic obstructive pulmonary disease requiring oxygen) 5. Has significant cognitive impairment (Alzheimer's disease or dementia) 6. Lives in a nursing home or long-term care facility 7. Concerns that may make it difficult to participate (ongoing health issues, personal events, etc.)