A C Larme1,2, J S Meyer3,2, J A Pugh4,5,2. 1. The Department of Orthodontics, University of Texas Health Science Center at San Antonio, Texas (Dr Larme) 2. At the time of this study, all three authors were affiliated with the Texas Diabetes Institute, San Antonio, Texas. 3. The Department of Nursing, University of Texas Health Science Center at San Antonio, Texas (Ms Meyer) 4. The Department of Medicine and Mexican American Medical Treatment Effectiveness Center, University of Texas Health Science Center at San Antonio, Texas (Dr Pugh) 5. Audie Murphy Memorial Veteran’s Hospital, San Antonio, Texas (Dr Pugh)