The Diabetes Prevention Program is now offered in English or Spanish and is designed to help the person who has pre-diabetes make lifestyle changes, that include weight loss and exercise, that can prevent or delay the onset of diabetes or cardiovascular disease. It is a free twelve week classroom program, followed by six months of telephone support. Nutrition guidance, cooking demonstrations, free exercise classes, problem solving and support for maintaining motivation is provided. A blood test result documenting pre-diabetes or blood pressure or cholesterol elevations that indicate risk for cardiovascular disease are required for inclusion. Current classes meet Wednesday mornings or Wednesday evenings in English and Friday mornings in Spanish and are scheduled by the Diabetes Prevention Program Coordinator. Participation in the class is free to qualified participants who have documentation from their physician that they have pre-diabetes or multiple cardiovascular risk factors. You will receive an informational package with release forms that must be signed and returned to the Holy Cross Hospital Diabetes Coordinator before participation in the class will be confirmed. Frequently Asked Questions: Who is eligible to attend? This series of classes is free to the person who has been diagnosed (by a blood test) as having pre-diabetes, impaired fasting glucose or impaired glucose tolerance. What are some of the topics to be taught? *Become a "fat detective" *Three ways to eat less fat *Cooking demonstration *Being active: A way of life *Problem Solving *Keys to Healthy Eating Out *Talk Back to Negative Thoughts *You can Manage stress *Ways to stay motivated What else can I expect? *You will have the opportunity to enroll (at no charge) in a Holy Cross Hospital sponsored exercise program for 12 weeks. *You will receive telephone support and access to a "lifestyle coach"