Microfinance can increase savings (specifically health savings) and income, leading to increased ability to pay for healthier foods, medicines, diagnostic services, specialty consultation, and health insurance, thereby improving diet, medication adherence and retention in care. Microfinance can also lead to improved financial literacy, self-confidence, and decision-making agency, which can positively impact all of the intermediate factors, and subsequently CVD risk reduction. Likewise, group medical visits can increase the efficiency of care delivery, improve quality of care, encourage self-efficacy, and increase levels of clinician-patient trust, all of which can improve intermediate factors and thereby achieve CVD risk reduction. Both interventions can change social network characteristics within two to three months, and can create group cohesion, social support, and shared experiences, leading to a social environment more conducive to healthy behavior choices, medication adherence, and retention in care, maximizing their effectiveness. Social networks influence behavior through several theoretical mechanisms: information for behavior change, perceptions of social norms, how-to knowledge, and social comparisons. Through all of these mechanisms, individuals with diabetes or at increased risk of diabetes can achieve CVD risk reduction. It is likely that integrating group medical visits into microfinance groups may yield even better outcomes, through a combination of the mechanisms described above. To assess the independent effects of group medical visits, microfinance, and integrated group medical visits-microfinance groups, a four-arm trial is proposed. In addition, the investigators will assess whether changes in social network characteristics mediate the relationship between each intervention, the intermediate factors, and the primary outcome. Finally, the research team will assess if baseline differences in social network characteristics moderate the relationship between each intervention and the primary outcome. In sum, the Bridging Income Generation with GrouP Integrated Care (BIGPIC) study will be able to assess comprehensively the relationship between microfinance, group medical visits, social networks, intermediate factors, and CVD risk reduction among individuals with diabetes and at increased risk of diabetes.