Inclusion Criteria:  Women Veteran VA users are eligible for each EBP as follows:  DPP: All overweight/obese women Veterans who are not pregnant (BMI>25 kg/m2 [>23 if Asian]) with prediabetes (defined as either an HbA1c 5.7-6.5% or fasting blood glucose 100-125 mg/dL) in the past 12 months  Women will self-refer to DPP, based on information provided by the clinics  TLC: All women Veterans (who are not pregnant) are eligible to participate in TLC  Women will be referred to the program by a healthcare provider  ROSE: All pregnant women Veterans are eligible to participate in ROSE  Women will be identified and recruited by the site pregnancy/maternity care coordinator or other women's health staff As part of each implementation strategy (REP and EBQI, see below), the sites will determine their own locally relevant recruitment strategies to engage 40 women Veterans/site in DPP or TLC, and all interested pregnant women in ROSE  Exclusion Criteria:  Does not meet inclusion criteria