Pre-diabetes and diabetes are on the rise in the U.S. According to the Centers for Disease Control and Prevention, the disease disproportionately impacts ethnic minority groups. The Hispanic/Latino population is of particular concern given that both the prevalence and incidence of the disease is increasing in this group. Effective evidence based interventions, such as the National Diabetes Prevention Program, exist to modify the risk of diabetes in high-risk patients. This intervention however has yet to be exclusively tested in the Hispanic/Latino population. There is also limited data on what, if any, other interventions have been successful in modifying diabetes risk among the specified population. The proposed program evaluation aims to evaluate existing diabetes prevention interventions at a primary care clinic in Oregon serving a large Hispanic/Latino population. The goals of the program evaluation are to identify the most effective intervention at reducing A1c, as well as to identify specific tailoring to meet the needs of the population. ?