The Mobile Diabetes Screening Initiative screened over 800 Métis clients in Alberta settlements to assess undiagnosed diabetes and cardiovascular risk. They found that 5% of adult clients had undiagnosed diabetes, 51% had pre-diabetes, and high rates of overweight/obesity and family history of diabetes. No children screened had diabetes but 21% had pre-diabetes. High rates of metabolic syndrome were also found among both adults and children screened. These results suggest Métis people in Alberta have similar high rates of diabetes and related conditions as other First Nations groups in Canada.