Description
Inclusion Criteria:
- * overweight, defined as BMI \>= 25 kg/m2 \>= 23 kg/m2 if of Asian descent
- * HbA1c between 5.7% - 6.4% verified at baseline
- * willingness to participate in group-based sessions
- * able to engage in at least light physical activities such as walking
- * willingness to follow a prescribed diet, be randomized, self-weight, track diet, and report physical activity minutes
- * physician approval to participate
Exclusion Criteria:
- * history of type 1 diabetes or type 2 diabetes
- * use of anti-obesity medications or participation in another weight loss program or intervention
- * use of glucose lowering medications other than metformin
- * pregnant or planning to become pregnant during the intervention period
- * breastfeeding
- * use of oral corticosteroids
- * previous bariatric surgery or planning to have bariatric surgery during the study period
- * blood disorders that influence HbA1c, including frequent blood transfusions, phlebotomy, anemia, hemoglobinopathy, polycythemia
- * any condition for which the study team deems participation to be unsafe or inappropriate
- * inability to read, write, or speak English
- * inability to provide informed consent
- * adherence to a vegan or vegetarian diet
- * adherence to a very low-carbohydrate (keto) diet
- * difficulty chewing or swallowing
- * no influence over what foods are purchased, prepared, and/or served
- * above weight limit for DEXA (500 pounds)
- * untreated eating disorder or mental health conditions, such as depression with suicidal ideation, bipolar or schizophrenia with psychosis
- * use of warfarin
- * chronic kidney disease, stage 4 or higher
- * use of loop diuretics: 20mg or higher of furosemide or equivalent (Lasix (furosemide), Bumex (bumetanide), Ederin or Sodium Edecrin (ethacrynic acid), Demadex or Soaanz (torsemide))
- * any concerning values in baseline labs (participants will be referred to Primary Care Physician and will be allowed to return for later enrollment if labs are no longer concerning)
- * Triglycerides 600 Milligrams per deciliter (mg/dL) or higher
- * Thyroid stimulating hormone of any abnormal value
- * Potassium of any abnormal value
Ages Eligible for Study:
21 Years to 75 Years (ADULT, OLDER_ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
No