South Africa (SA) has dramatically increasing diabetes prevalence due to changes in lifestyle (e.g., diet, exercise), requiring widespread prevention efforts. As part of adapting the Diabetes Prevention Program (DPP) for delivery in rural SA, we developed and implemented text-messaging components to enhance face-to-face DPP programming. We present the development of content (336 health-relevant, culturally appropriate messages) and implementation (delivery frequency, intensity, and scheduling logic). This messaging-enhanced DPP encourages participation and facilitates positive lifestyle change.