Diabetes is a global epidemic – by 2045, it is predicted that over 700 million adults will be living with type 2 diabetes mellitus (T2D). To address the knowledge gap and emotional burden attached to T2D, the research team developed an education and goal-based peer support model for young adults living with T2D in Mysore district, Karnataka, India. The study piloted a peer support intervention, Kanasina Gulabi (Kannada: My Dream Rose), designed to improve quality of life and diabetes management among young adults living with T2D. Participants were assigned to an intervention group, connected 1-1 to non-specialist providers – trained young adult peers who are also managing T2D – and developed action plans to improve their physical and mental health outcomes. Feasibility, acceptability, and preliminary effectiveness of the intervention were assessed over 3 months.