The NIH funded research focuses on the prevention of cardiovascular disease (CVD) and its complications among adults with diabetes in Northern Mexico. We are conducting a cluster-randomized trial among adult patients with diabetes recruited from 20 Secretaría de Salud (Secretary of Health)-operated health centers in Sonora. Ten of these health centers randomized to the intervention. Existing community health workers at the ten health centers randomized to the intervention trained on the adapted CVD prevention curriculum. To evaluate the intervention, psychosocial (e.g., knowledge, attitudes, and beliefs) and behavioral (e.g., smoking, healthy eating) risk factors for cardiovascular disease will be assessed at baseline, 3 months after, and at a 12 month follow up. Clinical risk factors (i.e., BMI, blood pressure, lipids, blood sugar) are collected at the health centers for these same time periods. Changes in the intervention clinic will be compared to changes over the same time among adult patients with diabetes in each of ten health centers randomized to the control condition, the usual standard of care.