Tabaei BP, Howland RE, Gonzalez JS, et al. - Considering that a 1-year randomized telephonic diabetes self-management intervention (Bronx A1C) was found effective in improving blood glucose control among a predominantly Latino and African American population in New York City, researchers sought to evaluate the impact of the intervention on reducing health care use and costs over 4 years. During follow-up, excess relative decreases in all-cause hospitalizations for the Tele/Pr arm vs PrO arm were statistically significant for odds of hospital use, the number of hospital stays, and hospital costs. Reductions in hospital use and costs for diabetes-related hospitalizations have been even stronger. Such outcomes indicate that the Bronx A1C intervention has had an impact not only on short-term glycemic control improvements but also on long-term use of healthcare. This result is significant because it indicates that the effects of the intervention have been long-lasting, with the ability not only to reduce hospitalizations but also to reduce the costs associated with hospitals.