Nearly six million Canadians are living with an increased risk of diabetes (prediabetes) and
approximately 50% of these will develop type 2 diabetes within five years. The investigators
wish to help these people change their lifestyle, to prevent them from getting diabetes.
Trials have shown that by supporting people with prediabetes to be more active and have
healthier eating habits they can halve their risk. However, these interventions were very
costly and not performed in Canada. With the help of local Family Physicians and other health
professionals (e.g. physiotherapy, psychology, endocrinology, nursing) the investigators have
created a less expensive intervention suitable for the Canadian population and health system.
The investigators need to perform a study to see whether these modified approaches are
practical for Canadians and likely to be effective. People at risk will be invited to
participate from family practices that have helped us in the initial stages of this program.
Family practices will be randomized to giving either the study intervention or continue with
the physician's usual care. People receiving the intervention will have an appointment with
their family doctor to discuss their exercise and eating habits and agree changes that are
necessary. A prescription detailing these changes will be completed and signed by the family
physician and participant. Participants will be given the name of a lifestyle change
facilitator (LCF) who will receive a copy of the prescription and contact the participant to
help them set achievable goals. The LCF will contact participants once a month for six months
to help them achieve these goals. The investigators eventual aim is to test this intervention
in a large-scale randomized control trial. To achieve this it is necessary to pilot all
aspects of the trial. Information from the pilot study can then be used to design and perform
a large-scale study effectively. The investigators hope that eventually the numbers of
Canadians progressing to having diabetes will be reduced.