Type 2 diabetes is more frequent in Japanese Americans than in Japan or the U.S. non-Hispanic white population. This appears to be due to the effects of ''westernization'' to bring out metabolic changes that lead to diabetes. This study will look at whether increased physical activity and dietary changes will reduce or prevent the metabolic changes that lead to type 2 diabetes in Japanese Americans who have impaired glucose tolerance, a condition intermediate between normal glucose tolerance and diabetes.

Ages Eligible for Study:  40 Years and above,  Genders Eligible for Study:  Both

Criteria

Inclusion Criteria:

• Japanese American
• Confirmed impaired glucose tolerance
• Able to fill out questionnaires

Exclusion Criteria:

• Significant exercise-restricting disease
• Poorly controlled hypertension
• Psychiatric disease or dementia
• Already on unusually restrictive diet
• Use of hypolipidemic drugs
• Use of tobacco
• Abnormal blood screening tests
• ECG evidence of ischemic heart disease at rest
• Abnormal maximal Bruce treadmill test