The primary goal of this study is to develop, implement, and test a community health worker (CHW) program designed to promote diabetes prevention among Korean and South Asian Americans in New York City.

In particular, the specific aims of this study are:

1. To utilize community based participatory research (CBPR) methods to expand upon an existing campus-community partnership to develop and implement a CHW program among Korean and South Asian Americans that promotes diabetes prevention;
2. To develop, implement, and assess the efficacy of a CHW intervention to promote diabetes prevention and access to care among NYC Koreans and South Asians.

Inclusion Criteria:

• is a South Asian or Korean American immigrant;
• is identified as at-risk by a diabetes risk assessment
• is between 18-75 years of age; and
• is willing to be randomized to either treatment or control groups.

Exclusion Criteria:

• is a confirmed diabetic;
• is on renal dialysis;
• has an acute or terminal illness or serious mental illness;
• has a history of recent coronary event within the last 12 months;
• has a recent history of acute medical problem or admission to hospital;
• has any other severe medical conditions that might make it difficult to attend educational sessions;
• has poor short-term prognosis (expected death in <2 years);
• is planning to travel for longer than 6 weeks during the 6-month intervention period; or
• is participating in another CVD study.