Can a tailored diet and exercise plan prevent diabetes in people with disabilities?

This study is testing different combinations of diet and exercise to find the best weight loss plan for people with prediabetes who also have physical or mobility disabilities. Thirty participants will start with either a high or reduced carbohydrate diet. After four weeks, those who lose enough weight continue their plan, while others are randomly assigned to add time-restricted eating or extra exercise coaching. The goal is to see which sequence works best for weight loss and blood sugar control.