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The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.

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RESET: Small Steps, Big Change

Contact Us

  •  850-316-2752

    Mailing Address

    Fairfield Service Center, 1295 West Fairfield Drive, Pensacola, Florida 32501 



Could You Have Prediabetes? Take the Risk Test

Prediabetes Printable Risk Test (91 KB; pdf)

Register online for upcoming classes or contact us at 850-316-2764 to enroll in a program.

If you scored a 5 or higher on the quiz, you qualify!

Joining a CDC-recognized lifestyle change program is one of the most effective ways to prevent getting type 2 diabetes.  

Contact us to enroll in a program or if you have questions about your risk for prediabetes. Call 850-316-2764 or email


What is the RESET: Small Steps, Big Change Program? 

RESET Small Steps Big Change logoRESET: Small Steps, Big Change is part of the National Diabetes Prevention Program, led by the Centers for Disease Control and Prevention (CDC). It is a Lifestyle change program scientifically proven to help people who have prediabetes or are at risk for type 2 diabetes, prevent or delay development of type 2 diabetes by more than 58%.


Did you score a 5 or higher on the quiz? 

A score of 5 or higher means you are at a higher risk of developing prediabetes and automatically qualifies you for participation in the free programPrediabetes, if left untreated, can increase your risk for developing type 2 diabetes. Contact the RESET: Small Steps, Big Change Program at 850-316-2764 to sign up or learn more.  

What Is the Format of RESET: Small Steps, Big Change? 

RESET: Small Steps, Big Change lasts for one year and is offered in-person at the Florida Department of Health and local community centers.

In-persongroups meet at the same location for one year. Groups meet weekly for the first 4 months, every other week for the next 4 months, followed by monthly meetings for the last 4 months. During each session, your lifestyle coach will teach a lesson on a different topic, lead a group discussion, and help you set and meet goals.

Worksites and Community Leaders Reset: Small Steps, Big Change has lifestyle coaches available to offer the program directly to your organization. If you are interested in bringing the lifestyle change program to your worksite, community program, or church, contact us to schedule an information session with your group.

How Will this Program Help Me Prevent Diabetes? 

In this lifestyle change program, you will learn to: 

  • Eat a healthy diet 
  • Add physical activity to your routine 
  • Lose weight and maintain a healthy weight for life 
  • Manage stress 
  • Understand and respond to your food cues 
  • Stay motivated 
  • Solve problems and overcome challenges that get in the way of making healthy changes 

For more information about RESET: Small Steps, Big Change Curriculum, visit Why Participate? 

To hear testimonials about their successes from former program participants, visit
  • What Is the Benefit of Being Part of RESET: Small Steps, Big Change?
  • Where Can I Participate in RESET: Small Steps, Big Change?
  • Does RESET: Small Steps, Big Change Work?
  • What Is Type 2 Diabetes?
  • What Is Prediabetes?
  • Who is at Risk for Prediabetes and How Do I Qualify?
  • Can I Prevent Type 2 Diabetes?
  • Your RESET: Small Steps, Big Change Lifestyle Coach

As part of a RESET group, you will work with other participants and a trained lifestyle coach to learn the skills you need to make lasting changes. These changes include losing a modest amount of weight, being more physically active, and managing stress.

Being part of a group provides support from other people who are facing similar challenges and trying to make the same changes you are. Together you can celebrate successes and find ways to overcome obstacles.

Free classes will be offered at the:

Florida Department of Health in Escambia County
1295 West Fairfield Drive
Pensacola, Florida, 32501

Call 850-316-2764 for class schedule information.

The RESET: Small Steps, Big Change program can help people with prediabetes cut their risk of developing type 2 diabetes in half. The Diabetes Prevention Program research study showed that making modest behavior changes helped participants lose 5 to 7 percent of their body weight — that is 10 to 14 pounds for a person weighing 200 pounds. These lifestyle changes reduced the risk of developing type 2 diabetes by 58% in people with prediabetes.

Type 2 diabetes is the most common form of diabetes. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have type 2 diabetes, your body can’t use its own insulin as well as it should. This causes sugar to build up in your blood.

Type 2 diabetes is a serious condition. It can lead to health issues such as heart attack; stroke; blindness; kidney failure; or loss of toes, feet, or legs.

Prediabetes is a blood glucose (sugar) level that is higher than normal but not high enough to be diagnosed as diabetes. One in three American adults has prediabetes, and most do not even know they have it. If you have prediabetes and do not lose weight or do moderate physical activity, you can develop type 2 diabetes within 5 years.

If you have these risk factors, you may be at higher risk than others for prediabetes and type 2 diabetes. 

  • You are overweight. 
  • You are 45 years of age or older 
  • Your parent or sibling has type 2 diabetes 
  • You are physically active fewer than 3 times per week 
  • You ever gave birth to a baby that weighed more than 9 pounds 
  • You ever had diabetes while pregnant (gestational diabetes) 

If you think you may be at risk, a health care provider can do a blood test to see if you have diabetes or prediabetes. 

You can join the program if you:

  • Are 18 or older. 
  • Are overweight (BMI >25 or >23 for people of Asian heritage). 
  • Can't already be diagnosed with diabetes 
  • Previously diagnosed with Gestational Diabetes 
  • Have prediabetes: 


Yes! Hearing your doctor say, “You’re at risk for type 2 diabetes,” or “You have prediabetes,” means that you can start preventing type 2 diabetes today. And you do not have to do it alone. Finding the RESET: Small Steps, Big Change program was your first step on that journey. If you have prediabetes, now is the time for prevention. Flordia Department of Health in Escambia County's RESET: Small Steps, Big Change lifestyle change program can help you take charge of your health to prevent or delay type 2 diabetes.

RESET: Small Steps, Big Change lifestyle coaches have the experience and training to help you reach your goals. Your lifestyle coach will help you:

  • Learn the facts about healthy eating and physical activity and explain how these behaviors will help reduce your risk for type 2 diabetes
  • Set and meet your goals
  • Build relationships with other participants
  • Work as a group to meet challenges

Our Lifestyle Coaches come from a variety of professional backgrounds; including Health Coaches and Registered Dietitians. Your lifestyle coach will adapt the sessions to match your group’s background, interests, and needs. For example, your coach may: 

  • Show you how to prepare healthy versions of popular local or ethnic foods and ask for ideas from group members 
  • Provide tips for eating healthy during cultural holidays or events 
  • Share fun local events that can help you be physically active 
  • Give you handouts to address your specific concerns 
"RESET: Small Steps, Big Change" is part of the National Diabetes Prevention Program, led by the Centers for Disease Control and Prevention (CDC)."


Diabetes Care During Disasters (922 KB; pdf)