The first of its kind, the SAADAP aims to communicate multilevel diabetes risk and lifestyle education based on the socioecological model (SEM) among South Asian (SA) adolescents with family history of type 2 diabetes. This culturally safe pilot intervention recruited a cohort of 80 SA adolescents between ages of 13-17 years from an endocrinology clinic in Ontario, Canada. Questionnaires were administered to evaluate knowledge about diabetes and perceived risk at baseline and postintervention. Analyses were restricted to 49 participants who attended at least 4 sessions. A mixed model with a random intercept was fitted to measure change in diabetes knowledge scores. The difference in general knowledge scores postintervention from baseline on average for the cohort was 3.32 out of 21 (p<0.001). Social and ecological dimensions of diabetes knowledge and total diabetes awareness scores increased significantly (p<0.001) from baseline to postintervention. Differences in the biological and behavioural dimensions of diabetes knowledge showed a mean decrease in score, although this was not statistically significant. Almost 60% of participants had no perceived change in their diabetes risk postintervention, a quarter of participants had decreased perception of their risk (with a majority being females). For approximately 16% of participants, their perceived risk slightly increased at their follow-up visit (Chi-Square=3.11, df=4, p=0.54). Appropriate community-based, multilevel, culturally safe risk communications can be developed for SA adolescents at risk for diabetes using the findings from this community-based intervention.