Integrating a Prescription Produce Program Within a Diabetes Prevention Program

Inclusion Criteria:

* ≥age 18
* rationale: adolescents who are at-risk of T2DM may have unique needs that will not be addressed in this study
* Most recent BMI ≥ 25kg/m 2 and not pregnant
* rationale: elevated BMI is associated with higher risk of developing T2DM
* Elevated glucose as evidenced by one of the following criteria:
* Hemoglobin A1c 5.7-6.4% indicative of prediabetes within the last 36 months
* Fasting blood glucose 100-125mg/dl or 2-hour glucose 140-199mg/dl within the last six months
* Physician diagnosis of prediabetes (impaired fasting glucose, impaired glucose intolerance)
* These criteria indicate the presence of prediabetes and places individuals are risk of T2DM
* Speak, read, and understand English
* rationale: current version of PPP intervention (cooking classes) is available in English
* Have a working U.S.- based phone number
* rationale: participants must have a working phone number because they will receive automated text messages as reminders to receive session reminders; participants must have a working phone number in case adverse event monitoring contacts are required
* Able to attend study-related sessions at the Health Hub @ 25th over the year long study (i.e., weekly for 4 months, then monthly for 7 months)
* rationale: participants must be able to attend study activities at the community site in order to engage in the intervention and study related sessions.

Exclusion Criteria:

* Individuals with HbA1c or glucose levels above the indicated glucose ranges will be advised to see their physician and excluded from participation unless they receive physician consent to participate.
* Pregnant adults (\>18 years old) will not be included in this current study because prediabetes (HbA1c levels between 5.7% - 6.4% within the last 36 months) during pregnancy presents unique physiological challenges that the study intervention does not address.
* Pregnancy status will be based on participants self-report. We will not provide any pregnancy tests prior to enrollment.