The proposed study, Mobile Health Technology for the prevention of Type 2 Diabetes (mDiab) is a Randomized Control Trial. It aims to implement and evaluate a Reality TV based lifestyle intervention delivered via a mobile phone application with 1500 people defined as “high risk” randomized to either the reality TV based lifestyle intervention or standard lifestyle counselling at three sites in India namely Chennai, Bengaluru and New Delhi. The research question here is whether lifestyle intervention delivered in the form of a reality based TV show captured as video lessons and delivered via a mobile health (mHealth) application can prevent or delay Type 2 Diabetes in "high risk" population. The “high risk” category in this study is defined as those adults who have one or more of the inclusion criteria. The intervention is in the form of 12 weekly video lessons adapted from the Diabetes Community Lifestyle Improvement Program (D-CLIP), a primary prevention translational trial for diabetes prevention conducted at the MDRF in Chennai, India and to be delivered via android smart phones. The primary outcome will look at a 5% weight loss at 10-12 months. The secondary outcomes will look at improvement in cardio metabolic risk factors (waist circumference, blood pressure, plasma glucose, serum lipids and fasting insulin) and behavioral and social variables at 3-4 months and 10-12 months. 

* IDRS is a simplified validated diabetes risk score devised by Dr V Mohan and Colleagues of the Madras Diabetes Research Foundation. It uses the 4 risk factors, age, physical activity, family history and waist circumference to identify the risk for type 2 diabetes in the Indian population.