The proposed study is a two arm randomized controlled trial with longitudinal follow-up that compares cognitive behavioral interventions (ENHANCE) to a control group with attention. The experiment will consist of a repeated measure 2 X 3 design; Condition (Experiment vs. Control) by Time (Pre, Post, Follow Up).

Inclusion Criteria:

• Asian/Pacific Islander Men and Women with type 2 diabetes; asymptomatic for hyperglycemia
• Both men and women will be included in the study if they have a diagnosis of type 2 diabetes made by a physician and meet classification and diagnostic criteria established by the American Diabetes Association (American Diabetes Association, 1997)
• Between 18 and 76 years
• Participation in diabetes education program of University Specialty Clinics

Exclusion Criteria:

• Crippling arthritis
• Joint replacements that limit movement
• Neuromuscular disease with paralysis
• Severe eye disease or visually impaired
• Chronic renal failure and/or End Stage Renal Disease requiring hemodialysis or peritoneal dialysis
• Transplant recipient
• Foot Amputation
• Congestive Heart Failure
• New York Heart Class III/IV
• Previous Cerebral Vascular Accident (stroke) with residual paralysis
• Malignancy
• Chronic hepatitis C
• HIV disease
• Individuals who contemplate changing residence within the period of study and becoming inaccessible to the study should be discouraged from the study