Journal of Primary Care & Community Health XX(X) 1 –5 © The Author(s) 2011 Reprints and permission:

Diabetes represents a significant health burden, impacting the lives of over 24 million individuals in the United States, and over 220 million individuals worldwide.1,2 Interventions aimed toward preventing type 2 diabetes in individuals at a heightened risk are vital to reducing the projected rise in the prevalence of diabetes and the socioeconomic burden associated with type 2 diabetes. Individuals at a heightened risk for prediabetes and diabetes include African Americans, American Indians, aging Americans, and Americans who are overweight or obese.1 In 2007, a total of 57 million adults were estimated to have pre-diabetes.1 Individuals with prediabetes (impaired glucose toler-ance and/or impaired fasting glucose) are at a heightened risk of developing type 2 diabetes in 3 to 10 years if effective lifestyle interventions are not implemented.3 Multiple research trials have demonstrated the efficacy of lifestyle intervention in th