 This study will examine the impact diabetes genetic counseling on patient motivation and disease prevention behaviors among subjects with pre-diabetes. We will randomize subjects with pre-diabetes to genetic testing vs. no genetic testing in order to obtain an unconfounded test of the hypothesis that genetic testing will change patient behavior. Intervention subjects will be provided with their individual diabetes genotype risk score derived from aggregating the combined results of 37 diabetes risk-associated genetic loci. Because patients can receive either Higher risk or Lower risk genetic test results, we will separately examine the impact of Higher risk and Lower risk test results compared to untested controls. All subjects will be enrolled in a 12-week diabetes prevention program. 