Table 4.

Stakeholders and the input in the study design

Stakeholders	Input provided	How it shaped our design
Diabetes Advisory Council/State Department of Health (DAC)	Consider health literacy issues of patients Policy subgroup would be useful to engage for this work	- Engaged the Center for Diabetes Translation and Research literacy core to join our team and assist with message tailoring - Tailoring algorithm that could be used in office - Brought in Diabetes Advisory Council as a policy subgroup
UNC Patient Advisory Board	Emphasize quality of life questions (e.g, Can I feel better or improve my ADLs?)	Added quality of life to outcomes
Greensboro Community Advisory Board	Important outcomes: Quality of life, hypoglycemia, health care service use, and patient empowerment. CMEs for providers, Query patient/provider community care	Hypoglycemia added as an outcome CME added for providers Added survey questions about patient-provider communication
Diabetes Center Patient Database	A1C is important in addition to Quality of life	A1C designated as a primary outcome
UNCPN Medical Directors	Testing is quite variable in real world clinical settings	Designed three-armed plan to address this reality and better respond to pragmatic patient issues.