If you have pre-diabetes or are at risk of developing Type 2 diabetes, support is available to help you make healthy lifestyle changes.
NHS Lothian offers a range of programmes to help you improve your health, lower your risk of Type 2 diabetes, and build healthy habits that last.
Choose the option that works best for you:
Second Nature Prevent
A 9-month digital group programme supported by a dietitian or nutritionist with practical tools, and an easy-to-use app. One to one support available within the app.

Prevent IT
A 3.5-hour NHS-led group session available online or in person, providing practical advice to help reduce your risk of Type 2 diabetes. Available in person or online.

MyDESMOND
A free online course that you can complete at your own pace, with information, tools, and support to help you stay healthy.

Second Nature Prevent
A 9-month online programme that helps you make healthy changes to reduce your chance of developing Type 2 diabetes.
You can use the app to:
- Track your weight, activity and healthy habits.
- Get one-to-one support from a registered dietitian or nutritionist.
- Join an online group for encouragement and support.
- Learn about healthy eating, exercise, sleep, stress and wellbeing through short daily articles.
- Access smart scales, a recipe book and a programme handbook.
- Keep access to the app after completing the programme.
Who can take part?
You may be able to join if you:
- Have an HbA1c result of 42-47 mmol/mol or have had gestational diabetes in the past.
- Have a BMI of 18.5 or above.
- Are aged 18 to 70 years.
- Are not pregnant or planning a pregnancy.
- Do not currently have an eating disorder.
- Have not had weight-loss surgery (bariatric surgery).
- Do not have drug or alcohol dependence.
- Do not have a severe mental health condition that is not being supported.
For more information, visit the Second Nature Type 2 Diabetes Prevention Programme website. Second Nature Type 2 Diabetes Prevention

Prevent IT
Prevent IT is a diabetes prevention session run by NHS Lothian staff. It is available online or in person and helps you learn how to lower your risk of Type 2 diabetes.
The session lasts 3.5 hours and includes:
- Information about pre-diabetes and Type 2 diabetes.
- Advice on healthy eating, being active, sleep and managing stress.
- Help to set realistic health goals.
- Tips for making changes that last.
- A chance to meet and learn from others in a supportive group.
What you’ll learn
Know IT
Learn what pre-diabetes is, what blood glucose means, and how Type 2 diabetes develops.
Move IT
Find out why being active is important and ways to fit activity into daily life.
Eat IT
Learn how healthy food choices can improve your health and help manage blood glucose levels.
Plan IT
Set realistic goals and make a plan for healthy lifestyle changes.
Live IT
Learn how to stay motivated and where to get support in the future.
Who can take part?
You may be able to join if you:
- Have pre-diabetes, including:
- HbA1c of 42-47 mmol/mol
- Impaired Fasting Glucose (IFG)
- Impaired Glucose Tolerance (IGT)
- Or have had Gestational Diabetes (GDM) in the past.

MyDesmond
MyDESMOND is a free online programme that helps you learn how to lower your risk of Type 2 diabetes.
You can complete the course in your own time using a phone, tablet or computer.
What MyDESMOND offers
- Short learning sessions that are easy to follow.
- Videos, quizzes and practical activities.
- Goal-setting tools to help you make healthy changes.
- Progress tracking so you can see how you’re doing.
- Activity tracking to help you stay motivated.
- An Ask the Expert service for advice and support.
- An online community where you can connect with others.
- Access 24 hours a day, 7 days a week.
MyDESMOND is a good option if you prefer to learn at your own pace or cannot attend a group session.
Who can take part?
You may be able to join if you:
- Have an HbA1c result of 42-47 mmol/mol (pre-diabetes).
- Have been identified as being at high risk of developing Type 2 diabetes.
MyDESMOND can help you understand how small changes to your lifestyle can improve your health and lower your risk of diabetes.

How to Access the Programme
You can:
Complete a self-referral form and email it to loth.lpd@nhs.scot
Ask your GP or another healthcare professional to refer you through SCI Gateway
Get in touch
Email: loth.lpd@nhs.scot
Phone: 0131 537 9169
Woodlands House
Astley Ainslie Hospital
74 Canaan Lane
Edinburgh
EH9 2TB












