Participant Guide
Introduction to the Program
Prediabetes
Prediabetes means that your blood sugar is higher than normal. But it’s not
high enough for type 2 diabetes.
zz More than 1 in 3 American adults has prediabetes.
zz 9 out of 10 people with prediabetes don’t know they have it.
If you have prediabetes, you are more likely to get:
zz Diabetes
zz Heart disease
zz Stroke
The good news is that losing weight and being active can
cut your risk of type 2 diabetes in half.
Source: CDC
Participant Guide: Introduction to the Program 2
Prevent T2 Goals
Prevent T2 is a yearlong program. It’s designed for people with
prediabetes. It’s also for people who are at high risk for type 2 diabetes
and want to lower their risk.
By the end of the first six months, your goal is to:
►► Lose at least 5 to 7 percent of your starting weight
►► Get at least 150 minutes of physical activity each week
By the end of the second six months, your goal is to:
►► Keep off the weight you’ve lost
►► Keep working toward your goal weight, if you haven’t
reached it
►► Lose more weight if you wish
►► Keep getting at least 150 minutes of activity
each week
Losing weight can:
►► Prevent or delay type 2 diabetes
►► Ease sleep problems, arthritis, and depression
►► Lower your blood pressure and cholesterol level
►► Make you feel better about yourself
Getting more active can:
►► Prevent or delay type 2 diabetes
►► Give you more energy
►► Help you sleep better
►► Improve your memory, balance, and flexibility
►► Lift your mood
►► Lower your blood pressure and cholesterol
►► Lower your risk of heart attack and stroke
►► Lower your stress level
►► Strengthen your muscles and bones
Participant Guide: Introduction to the Program 3
Type 2 Diabetes
When you eat, your body breaks down food into glucose, a type of sugar.
In people without type 2 diabetes, a hormone called insulin helps sugar leave
the blood and enter the cells. This gives the cells energy.
In people with type 2 diabetes, the body doesn’t make or use insulin well.
So sugar builds up in the blood instead of going into the cells. And the cells
don’t get enough energy.
Type 2 diabetes can harm your:
zz Heart and blood vessels, which can lead to heart
attacks and strokes
zz Nerves
zz Kidneys, which can lead to kidney failure
zz Eyes, which can lead to blindness
zz Feet, which can lead to amputation
zz Gums
zz Skin
You are more likely to get type 2 diabetes if you:
zz Are too heavy (overweight or obese)
zz Spend a lot of time sitting or lying down
zz Have a parent or sibling with type 2 diabetes
zz Are African American, Hispanic, Native American, or Asian American
zz Are 45 or older. This may be because people tend to be less active and
gain weight as they age. But type 2 diabetes is also on the rise among
young people.
zz Had diabetes while you were pregnant (gestational diabetes)
Participant Guide: Introduction to the Program 4
Your Six-Month Goals
Activity Goal
In the next six months, I will get at least 150 minutes of activity each
week at a moderate pace or more.
Weight Goal
I weigh _____ pounds.
In the next six months, I will:
Lose at least ______ (5/6/7) percent of my body weight
Lose at least ______ pounds
Reach ______ pounds
Participant Guide: Introduction to the Program 5
Weight Loss by the Numbers
One goal of this program is to lose at least 5 to 7 percent of your starting
weight in the next six months. For instance, if you weighed 200 pounds, you
would lose 10 to 14 pounds. The chart on the next two pages shows how
many pounds you need to lose in order to reach your goal. To use it:
1. Place your finger at the top of the blue column that says “Wt.” This
stands for your starting weight. Move your finger down until you find the
number of pounds you weigh now.
2. Move your finger to the right. Stop when you reach the column that
shows what percentage of your starting weight you want to lose (5%,
6%, or 7%).
3. Look at the number your finger is pointing to. That’s the number of
pounds you need to lose in order to reach your goal.
Participant Guide: Introduction to the Program 6
Weight Loss by the Numbers
Wt 5% 6% 7% Wt 5% 6% 7% Wt 5% 6% 7% Wt 5% 6% 7%
130 7 8 9 166 8 10 12 202 10 12 14 238 12 14 17
131 7 8 9 167 8 10 12 203 10 12 14 239 12 14 17
132 7 8 9 168 8 10 12 204 10 12 14 240 12 14 17
133 7 8 9 169 8 10 12 205 10 12 14 241 12 14 17
134 7 8 9 170 9 10 12 206 10 12 14 242 12 15 17
135 7 8 9 171 9 10 12 207 10 12 14 243 12 15 17
136 7 8 10 172 9 10 12 208 10 12 15 244 12 15 17
137 7 8 10 173 9 10 12 209 10 13 15 245 12 15 17
138 7 8 10 174 9 10 12 210 11 13 15 246 12 15 17
139 7 8 10 175 9 11 12 211 11 13 15 247 12 15 17
140 7 8 10 176 9 11 12 212 11 13 15 248 12 15 17
141 7 8 10 177 9 11 12 213 11 13 15 249 12 15 17
142 7 9 10 178 9 11 12 214 11 13 15 250 13 15 18
143 7 9 10 179 9 11 13 215 11 13 15 251 13 15 18
144 7 9 10 180 9 11 13 216 11 13 15 252 13 15 18
145 7 9 10 181 9 11 13 217 11 13 15 253 13 15 18
146 7 9 10 182 9 11 13 218 11 13 15 254 13 15 18
147 7 9 10 183 9 11 13 219 11 13 15 255 13 15 18
148 7 9 10 184 9 11 13 220 11 13 15 256 13 15 18
149 7 9 10 185 9 11 13 221 11 13 15 257 13 15 18
150 8 9 11 186 9 11 13 222 11 13 16 258 13 15 18
151 8 9 11 187 9 11 13 223 11 13 16 259 13 16 18
152 8 9 11 188 9 11 13 224 11 13 16 260 13 16 18
153 8 9 11 189 9 11 13 225 11 14 16 261 13 16 18
154 8 9 11 190 10 11 13 226 11 14 16 262 13 16 18
155 8 9 11 191 10 11 13 227 11 14 16 263 13 16 18
156 8 9 11 192 10 12 13 228 11 14 16 264 13 16 18
157 8 9 11 193 10 12 14 229 11 14 16 265 13 16 19
158 8 9 11 194 10 12 14 230 12 14 16 266 13 16 19
159 8 10 11 195 10 12 14 231 12 14 16 267 13 16 19
160 8 10 11 196 10 12 14 232 12 14 16 268 13 16 19
161 8 10 11 197 10 12 14 233 12 14 16 269 13 16 19
162 8 10 11 198 10 12 14 234 12 14 16 270 14 16 19
163 8 10 11 199 10 12 14 235 12 14 16 271 14 16 19
164 8 10 11 200 10 12 14 236 12 14 17 272 14 16 19
165 8 10 12 201 10 12 14 237 12 14 17 273 14 16 19
Participant Guide: Introduction to the Program 7
Weight Loss by the Numbers
Wt 5% 6% 7% Wt 5% 6% 7% Wt 5% 6% 7% Wt 5% 6% 7%
274 14 16 19 310 16 19 22 346 17 21 24 382 19 23 27
275 14 17 19 311 16 19 22 347 17 21 24 383 19 23 27
276 14 17 19 312 16 19 22 348 17 21 24 384 19 23 27
277 14 17 19 313 16 19 22 349 17 21 24 385 19 23 27
278 14 17 19 314 16 19 22 350 18 21 25 386 19 23 27
279 14 17 20 315 16 19 22 351 18 21 25 387 19 23 27
280 14 17 20 316 16 19 22 352 18 21 25 388 19 23 27
281 14 17 20 317 16 19 22 353 18 21 25 389 19 23 27
282 14 17 20 318 16 19 22 354 18 21 25 390 20 23 27
283 14 17 20 319 16 19 22 355 18 21 25 391 20 23 27
284 14 17 20 320 16 19 22 356 18 21 25 392 20 24 27
285 14 17 20 321 16 19 22 357 18 21 25 393 20 24 28
286 14 17 20 322 16 19 23 358 18 21 25 394 20 24 28
287 14 17 20 323 16 19 23 359 18 22 25 395 20 24 28
288 14 17 20 324 16 19 23 360 18 22 25 396 20 24 28
289 14 17 20 325 16 20 23 361 18 22 25 397 20 24 28
290 15 17 20 326 16 20 23 362 18 22 25 398 20 24 28
291 15 17 20 327 16 20 23 363 18 22 25 399 20 24 28
292 15 18 20 328 16 20 23 364 18 22 25 400 20 24 28
293 15 18 21 329 16 20 23 365 18 22 26 401 20 24 28
294 15 18 21 330 17 20 23 366 18 22 26 402 20 24 28
295 15 18 21 331 17 20 23 367 18 22 26 403 20 24 28
296 15 18 21 332 17 20 23 368 18 22 26 404 20 24 28
297 15 18 21 333 17 20 23 369 18 22 26 405 20 24 28
298 15 18 21 334 17 20 23 370 19 22 26 406 20 24 28
299 15 18 21 335 17 20 23 371 19 22 26 407 20 24 28
300 15 18 21 336 17 20 24 372 19 22 26 408 20 24 29
301 15 18 21 337 17 20 24 373 19 22 26 409 20 25 29
302 15 18 21 338 17 20 24 374 19 22 26 410 21 25 29
303 15 18 21 339 17 20 24 375 19 23 26 411 21 25 29
304 15 18 21 340 17 20 24 376 19 23 26 412 21 25 29
305 15 18 21 341 17 20 24 377 19 23 26 413 21 25 29
306 15 18 21 342 17 21 24 378 19 23 26 414 21 25 29
307 15 18 21 343 17 21 24 379 19 23 27 415 21 25 29
308 15 18 22 344 17 21 24 380 19 23 27 416 21 25 29
309 15 19 22 345 17 21 24 381 19 23 27 417 21 25 29
Participant Guide: Introduction to the Program 8