Abstract: The aim of this project was to develop and enact appropriate approaches to support healthy lifestyle changes as part of longer-term diabetes prevention among younger Aboriginal people in Derby, Western Australia. Analysis of health care data showed a high diabetes prevalence and risk factors from an early age, with opportunities to enhance screening. Community members directed the creation of a comprehensive prevention program. The pilot program was found to be acceptable, appropriate and useful. This example of a localised, evidence based prevention program that can be run by a range of community members may be useful in other low-resource settings.