Clinical Research Directory

Inclusion Criteria: 1. Diagnosed with type 2 diabetes in the past 10 years. 2. Age 21-65 years 3. BMI of 25 - 45 kg/m2 4. HbA1c of 6.7-9.5%, or those with A1c of \<6.7% on glucose-lowering medications 5. Ability to participate in a graduated physical activity program 6. Clearance from study physician. Exclusion Criteria: 1. Inability to attend health education meetings. 2. Weight change of \>=5% in the previous 3 months. 3. Addition of new antihyperglycemic or weight-reducing medication in the previous 2 months. 4. Serious medical risk such as ongoing treatment for cancer, uncontrolled hypertension, recent cardiac event, or other medical condition presenting acute risk of participation in a lifestyle change program. 5. Untreated depression or anxiety, or increase in associated medications in the previous 3 months. 6. Current participation in another lifestyle change intervention, such as a tobacco cessation program or physical activity program. 7. Pregnancy or lactation within the previous six months 8. Weight of \>450 lbs 9. Currently taking medications that may result in hypoglycemia during fasting and unwilling to stop prior to the study