 Type II diabetes and its complications disproportionately affect the patient population served by the Department of Veterans Affairs VA. Recent lifestyle interventions have demonstrated that weight-loss achieved through reductions in calorie intake and increases in physical activity can prevent or delay the onset of diabetes. The Healthy Living Partnerships to Prevent Diabetes HELP PD, a community-based adaptation of the lifestyle intervention used in the Diabetes Prevention Program, achieved more than a 7 weight loss at 6 months. 