The goal of this research is to evaluate a scientifically rigorous diabetes intervention, Together Overcoming Diabetes (TOD), that has been tailored to address the unique underlying risk and protective factors and social determinants of diabetes among American Indian/Alaska Native (AI/AN) populations.

Inclusion Criteria - Adult Index Participants:

• 18 years and older
• Self-identifies as American Indian or Alaska Native
• Rapid City-based participants who reside within 1 hour transportation range of the Oyate Health Center
• Verification from a health provider to confirm Type 2 Diabetes diagnosis by laboratory test.
• Caregiver to a 10- to 25-year-old in their home at the time of screening.
• Willing to complete all implementation and follow-up assessments.
• Willing to be randomized for the intervention.

Exclusion Criteria - Adult Index Participants:

• Inability to participate in full intervention or evaluation (e.g., planned move, residential treatment, etc.)
• Willing to serve as 'support person' for the adult participant.
• Has a circumstance that might impact successful participation based on provider judgment considering instances where diabetes control can become more difficult with advanced disease or special conditions including: pregnant, nursing, or planning to become pregnant, end-stage renal disease on dialysis, diabetes due to secondary causes such as Cushing's or Cystic Fibrosis, or any condition that may inhibit participation

Inclusion Criteria - Youth Support Participants:

• Between 10 years and 25 years old
• Self-identifies as American Indian or Alaska Native.
• Willing to serve as 'support person' for the adult participant.
• Willing to complete all implementation and follow-up assessments.
• Willing to be randomized for the intervention.

Exclusion Criteria - Youth Support Participants:

• Cognitively or visually impaired
• Youth in foster care (due to potential mobility of foster youth).

Independent Evaluators are masked to the study participants' randomized group status/