Data are β coefficient and 95% confidence intervals (95% CI). Linear regression analysis was applied. Abbreviations : A1C: glycated hemoglobin, AA: African American, BMI: Body mass index, C: Caucasian, CMRF: cardiometabolic risk factors (type 2 DM, obesity, HTN), DBP: Diastolic blood pressure, H: Hispanic, MDT: Multidisciplinary team, PCP: Primary Care Provider Q1: First quarter, SBP: Systolic blood pressure.