“…More than 13 million Americans are diagnosed with diabetes yearly, with a growing prevalence (Kokkonen, Lautala, & Salmela, 1997;Larkin, 2001). Diabetes is associated with increased physical morbidity, social and occupational impairment, increased use of health care services, and premature mortality (Caldwell, Baxter, Mitchell, Shetterly, & Hamman, 1998;Sinclair, Bayer, Girling, & Woodhouse, 2000). Although considered to be distinct, the etiology of both Type 1 and Type 2 diabetes is not completely understood nor are the reasons for the rapidly increasing prevalence of diabetes, especially Type 2, over the past 10 years (Kokkonen et al, 1997;Larkin, 2001).…”