A sustainable Extension model for promoting health and managing lifestyle-related chronic diseases in Hispanic populations would help mitigate health disparities in Hispanic communities. Hispanic Balanced Living with Diabetes (HBLD) is a type 2 diabetes lifestyle management program that we tested in Virginia. Through postintervention focus group discussions, we assessed barriers faced by Hispanics when accessing health care services, satisfaction with HBLD, and feasibility of training members of the Hispanic community to become promotoras, individuals who help facilitate adoption of healthful behaviors. Incorporating native Spanish speakers as educators and "promotoras" will ensure culturally relevant delivery of lifestyle modification programs, accurate communication of information, and development of trust with participants.