Community-based self-help care model of T2DM management. TLCs is a process, not an event and it continues in a feedback loop. Community health workers (CHWs) assist participants to set short- and long-term goals using the SMART (Specific, Measurable, Achievable, Relevant, Time-bound) principle and to achieve the goals by training skills. They communicate online (using the CDMS and smartphone) and offline (e.g., face-to-face interview and counseling).