The primary diabetes-related issue that have been identified as an area of focus for the CTWS Health & Human Services Branch is diabetes education. Recently, the Diabetes Program was reorganized to be reintegrated in with primary care providers to support the medical home model. Also, the Diabetes Prevention Program was discontinued leaving a gap in care for prediabetes patients. Both the Diabetes and Diabetes Prevention programs were under Indian Health Services direction. Diabetes in Warm Springs is a significant issue. The user population at the Warm Springs Health and Wellness Center is 5,712 patients with 664 patients having a diagnosis of diabetes. There are currently 328 patients on the diabetes registry. Prediabetes is a concern with 154 of the 226 patients with a prediabetes diagnosis living in the community. Bringing back the Diabetes Prevention Education best practice will enable the Tribal SDPI Wellness Team to re-engage the focus, attention and resources of this grant to adults ages 18 to 65 years old. We will be able to provide individual and family focused activities during the day, evening and on weekends to accommodate the schedules of our working families. Planned activities include family fitness nights, a nutrition and family fitness expo, and family fitness challenges sponsored by the SDPI Wellness Program.