Diabetes Prevention Programs continue to grow in popularity in the United States. These Programs feature weekly meetings with trained lifestyle coaches that help participants evaluate and change lifestyle choices with an emphasis on weight loss. Avoiding the progression from Prediabetes to Type 2 Diabetes reduces health care costs, which is about $17,000 per year! An estimated 84 Million Americans have Prediabetes and 9 out of 10 do not know it! Structured lifestyle changes reduce the risk of developing Type 2 Diabetes by half, but why don’t they work all the time? Can we improve a Diabetes Prevention Program?