North Lewisham PCN
Lifestyle Medicine Diabetes Service
A targeted lifestyle medicine service for people living with pre-diabetes and diabetes, delivering significant improvements in HbA1c and metabolic health.
Context
Building on the success of the North Lewisham Lifestyle Medicine Service, this programme was developed to provide more focused support for patients living with pre-diabetes and diabetes within the PCN population.
The Challenge
Patients living with diabetes often require more tailored, sustained support to achieve meaningful improvements in glycaemic control. Traditional approaches can lack the personalised, behavioural focus needed to support long-term change.
The Approach
Delivered by Health and Wellbeing Coaches and Nutritionists funded through ARRS
Combination of one-to-one and group coaching sessions
Structured around the six pillars of lifestyle medicine, with a focus on diabetes management
Additional emphasis on nutrition, glucose regulation and metabolic health
Open to adults within the PCN living with pre-diabetes or diabetes
Results and Outcomes
Patients living with diabetes
100% of patients reduced their HbA1c
Average reduction of 24 mmol/mol at 3 months (n=26)
Average reduction of 32 mmol/mol at 6 months (n=9)
26% of patients (8 out of 31) were no longer living with diabetes
6 patients achieved HbA1c <42 mmol/mol
Patients living with pre-diabetes
100% of patients reduced their HbA1c
Average reduction of 5 mmol/mol at 3 months (n=13)
77% of patients achieved HbA1c <42 mmol/mol
Sustained reduction at 6 months (n=8)
Patients were assessed using a combination of biometric measures (including HbA1c, weight and blood pressure) alongside validated wellbeing scores.
Key Takeaways
Targeted lifestyle medicine interventions can deliver significant improvements in glycaemic control
Combining group and one-to-one support enables both education and personalised change
Integrating lifestyle medicine into existing NHS structures is both feasible and effective
Sustained engagement is key to achieving long-term metabolic improvements
Delivery Team
Delivered in partnership with:
North Lewisham PCN
Service Creator & Lead: Dr Camille Hirons
Team: Charlie Tunmore, Lily Lang, Nana Ocran, Awetchy Likofo, Dr. Barnaby Hirons
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