Background Medical Students Making Change (MSMC), led by University of South Carolina School of Medicine Columbia students in collaboration with The Free Medical Clinic in Columbia, SC, aims to improve diabetic control in South Carolina. Approximately 13.2% of South Carolina’s adult population has diabetes. With serious complications such as heart disease, stroke, and amputation, diabetes costs South Carolina an estimated $5.9 billion each year. By pairing medical student volunteers with diabetic patients for routine check-ins, MSMC seeks to strengthen patient understanding of their health and lifestyle trends with the goal of improving patient glycemic control as measured by A1C levels. A new recruitment method was implemented where medical student volunteers went to The Free Medical Clinic weekly to participate in A1C screening and patient recruitment aiming to increase MSMC patient enrollment and A1C screening capabilities. Methods MSMC implemented a weekly A1C screening and enrollment clinic starting in January 2024. During this session, medical student volunteers reviewed A1Cs from the previous week, contacted eligible patients, screened eligible patients in the clinic, and attempted to enroll those meeting the inclusion criteria: adults (≥18 years old), diagnosed type 2 diabetes, access to a phone, and an A1C ≥6.5%. MSMC volunteers screen patients for diabetes using A1C test kits. The Free Clinic providers provide MSMC with patients current BMI and glucose to assist with goals. Patients are then paired with a trained medical student volunteer and provided educational materials regarding T2DM management. Phone calls between volunteers and patients focus on assessing goals related to diet, exercise, sleep, and hydration. Volunteers address barriers to achieving goals and navigate solutions. HbA1C and fasting blood glucose are measured every 3 months to monitor glycemic control. Results Fourteen patients were enrolled in the MSMC program between January-April 2024. The average BMI was 38.7. The average base A1C was 9.6%, and the average fasting blood glucose was 246. Of the patients enrolled in the MSMC program with 3-month A1C values, there has been an average decrease in A1C of 1.7%. Conclusion The clinic’s high A1C average highlights a need for lifestyle and therapeutic interventions within this demographic. This preliminary data further emphasizes the need for patient education and intervention to improve glycemic control and thereby attenuate the complications associated with insulin resistance/type 2 diabetes.