Cardiac rehab programs in rural settings are often a challenge to offer. Because the CHANGE program exists as a multidisciplinary team including Kinesiology, Dietetics, Family Medicine and Internal Medicine, the opportunity has arisen to share the load of responsibility for rehabilitating those patients who have undergone cardiac interventional procedures. So, in addition to the proactive portion of the program involving those with MetS in the "prehab" phase of the medical system, we can now also in a rural setting offer cardiac rehab to those having experienced unfortunate cardiac events secondary to MetS and Diabetes.