Recreational Basketball to Increase Participation in Diabetes Prevention

The purpose of this study is to assess the efficacy of adapting the National Diabetes Prevention Program (NDPP) to include recreational sports in effort to increase physical activity (PA) and promote lifestyle changes that can help reduce the risk of developing Type 2 Diabetes Mellitus. The hypothesis is that both the traditional NDPP and the NDPP+ Basketball will be considered feasible. The primary outcome is to assess whether the intervention (NDPP+BB) compared to the standard of care (NDPP only) will result in greater weight loss, lower A1c, and increased engagement in physical activity.

Inclusion Criteria: * Aged 18-44 years * BMI \>= 25 kg/m2 * Previous diagnosis of prediabetes as defined: * HbA1c 5.7 to 6.4% at baseline * Not engaged in high exercise levels (self-report of less than 300 minutes of exercise per week) * Not engaged in other lifestyle intervention program in past 2 years * Ability to read in English and provide informed consent * Ability to walk unassisted for 30 minutes * Ability to jump in place Exclusion Criteria: * Diabetes due to underlying conditions * Type 1 Diabetes * Type 2 Diabetes * End Stage Renal Disease (ESRD) * Myocardial Infarction within the last 12 months * Cancer treatment * Congestive Heart Disease * Not currently pregnant * Any history of seizures or uncontrolled neurologic or psychiatric condition that may interfere with the intervention plan