A 12 Month Site Randomized Trial in Adults With Type 2 Diabetes Mellitus and History of Cardiovascular Disease

Inclusion Criteria: * Age ≥ 18 years old * Diagnosis of Type 2 diabetes mellitus (T2DM) * History of at least one of the following conditions: 1. Coronary artery disease (defined as prior MI, coronary revascularization (CABG or PCI), and/or obstructive CAD (≥50%) as documented by angiography or CTA) 2. Stroke and/or carotid artery stenosis (≥50%) 3. Peripheral Arterial disease (defined as claudication with ABI\<0.9, prior peripheral revascularization, and/or amputation due to circulatory insufficiency) * Ability to communicate with site staff and understand and provide written informed consent and proof of Health Insurance Portability and Accountability Act (HIPAA) authorization Exclusion Criteria: * Determined to be highly unlikely to survive and/or to continue follow-up in that clinic for at least 1 year, as identified by site investigator * GFR\<30 mL/min/1.73m2 * Already on all guideline-recommended therapies for T2DM and CVD * Absolute contraindication to any of the guideline recommended therapies for T2DM and CVD