The overall goal of Dr. Burnets research is to decrease risk of and improve care for type 2 diabetes in minority youth. Currently, her major project is development, testing and eventual dissemination of a program to decrease obesity and risk of type 2 diabetes in minority youth. Obesity is rising in all age groups, and is especially prevalent among minority groups. Correspondingly, type 2 diabetes is being diagnosed in young people with increasing frequency. African Americans, Latinos and Native Americans are at increased risk both for obesity and for development of type 2 diabetes. The Chicago Childhood Diabetes Prevention Program seeks to translate the findings from the adult Diabetes Prevention Program to youth at high risk because of obesity and a family history of type 2 diabetes. Formative research involving focus groups with children and families and interviews with community leaders is underway at present, in order to shape an intervention that will be culturally appropriate and designed to meet needs and interests as perceived in the community. A weekly nutrition and exercise program will be piloted with ten families later this year, and implemented as a long-term study involving 160 families over the next five years. Concurrently, Dr. Burnet is working with Dr. Lipton to analyze mortality data from the Chicago Childhood Diabetes Registry, in order to study outcomes for different groups of patients with diabetes. It is hypothesized that members of minority groups fare worse in terms of outcomes, including mortality. Research documenting disparities in outcomes is essential in order to understand risk factors and design interventions to improve care and outcomes for all groups.