The goal of this study is to learn about if shared medical appointment is an acceptable way to deliver care to youth with type 2 diabetes.

The main question[s] it aims to answer are:

• Design four group activities centered around nutrition therapy, peer interactions, exercise and stress management.
• Design the clinical workflow for implementation phase.

Participants will attend quarterly clinic appointments and group activities and take surveys. Researchers will compare this intervention to standard of care.

AYA Advisory Council Inclusion Criteria

• Age 12 to 18 at time of study enrollment
• Receives care for type 2 diabetes
• Willingness to attend all meetings
• English-speaking

Exclusion Criteria • Non-verbal or unable to participate in group activities and discussions

Caregiver Advisory Council Inclusion Criteria

• Age 18 or above
• Caregiver of AYA with type 2 diabetes
• Willingness to attend all meetings
• English- or Spanish-speaking

Exclusion Criteria

• Non-verbal or unable to participate in group activities and discussions

Stakeholder Advisory Board Inclusion Criteria

• Age 18 or above
• On staff at CHLA or UCSF
• Clinical or administrative member of the diabetes clinic
• Willingness to participate in monthly meetings. If unable to attend, willingness to review meeting minutes.

Exclusion Criteria • None

Curriculum Reviewers Inclusion Criteria

• Age 18 or above
• CDCESs, nurses, nurse practitioners, dieticians, social workers or physicians in the diabetes clinic
• Clinical members of the diabetes clinic

Exclusion Criteria

• Member of the Stakeholder Advisory Board

AYA Advisory Council: Participants will include AYAT2D between the ages of 12 to 18.

Caregiver Advisory Group: Participants will include caregivers of AYAT2D.

The Stakeholder Advisory Board will include the PI, co-I's, study coordinator, group facilitators (including Certified Diabetes Care and Education Specialists [CDCES], RD, and behavioral health specialist [BH: psychologist and social worker]), clinicians, and clinic administrator.

The Curriculum Reviewers will include CDCESs, nurses, nurse practitioners, dieticians, social workers or physicians in the diabetes clinic.