Type 2 Diabetes Prevention in Community Health Care Settings for at Risk Children and Mothers

Inclusion Criteria: Child: 8-12-years-old (if the mother has more than one child in the age range, the oldest child will be invited to participate; other children will be invited to join if the mother wishes it, but will not be measured), overweight/obese (≥85th percentile of BMI for age and sex, and ≥2 of the following T2D risk factors: family history of T2D in first or second degree relative; or, identify as a racial/ethnic minority; or, exhibit signs of insulin resistance or conditions associated with insulin resistance, or mother with T2D or GDM during gestation. Able to read and speak English, and provide written assent. Mother: 18-54 years-old, BMI ≥ 25 kg/m2 and a risk score ≥5 on the seven-item American Diabetes Association's Diabetes Risk Assessment (84). In addition, women must have prediabetes, determined by an HbA1c value \>5.7% and \<6.5%, or, a self-reported or chart documented history of gestational diabetes mellitus with an HbA1c \<6.5% and/or casual capillary blood glucose \<199 mg/dL. Must be willing to participate with their child in all intervention activities and sessions, Able to read and speak English or Spanish, and provide informed consent. Exclusion Criteria: Mother: No evidence of prediabetes Currently pregnant or planning to become pregnant during the study Have any condition or use any medication that could alter glucose metabolism or weight Have suffered a heart attack, stroke or transient ischemic attack (TIA) in the past 6 months…