Developing a Lifestyle Intervention for South Asians

This pre-post pilot study is a 16 week lifestyle program for South Asians with prediabetes or diabetes in Atlanta. Patients will participate in physician-led group visits every other week focused on improving dietary and exercise practices to reduce weight.

Inclusion criteria

• age > 18 years;
• confirmed diagnosis of prediabetes or T2D (documented A1c of ≥ 5.7%, 2-hour post-load glucose of >140, or FBG of >100);
• a family member or peer willing to participate and attend all sessions as a social influencer;
• proficiency in English of at least one member of each dyad,
• willingness to provide written consent.

Exclusion criteria

• type 1 diabetes or diabetes secondary to other conditions (e.g. steroid-induced, pancreatic insufficiency, or chemotherapy-induced);
• malignancy or life-threatening illness with life expectancy of <5 years;
• end-stage disease or serious illness that prohibits participation (e.g. end-stage renal disease or class IV congestive heart failure);
• inability to perform unsupervised physical activity;
• pregnancy;
• diagnosed cognitive deficits or limited decision-making capacity;
• alcohol or substance abuse;
• homelessness or no fixed address.