2.57 CME

Lifestyle as Medicine: A Coaching Approach to Diabetes Care

Speaker: Mr. Michael See

Consultant, Emergo by UL, Mansfield, USA

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Description

Lifestyle as Medicine: A Coaching Approach to Diabetes Care highlights the transformative role of lifestyle interventions in the prevention and management of diabetes. The session will explore how personalized coaching in nutrition, physical activity, sleep, and stress management can improve glycemic control and overall metabolic health. It will emphasize behavior change strategies, patient engagement, and goal-setting to support long-term adherence. Real-world case examples will illustrate how a coaching model can complement medical therapy. This webinar aims to equip clinicians with practical tools to empower patients and achieve sustainable diabetes outcomes.

Summary Listen

  • Chronic health conditions are a significant burden globally, with nearly half of Americans having at least one, and a large percentage experiencing multiple. These conditions are a major driver of healthcare costs, with a large percentage attributed to chronic illnesses often linked to lifestyle habits. Addressing key risk factors like diet, physical activity, and tobacco use could prevent a substantial portion of heart disease, stroke, type 2 diabetes, and cancer.
  • Lifestyle medicine, rooted in principles dating back to Hippocrates, emphasizes therapeutic lifestyle interventions as a primary modality for treating chronic conditions. The American College of Lifestyle Medicine highlights the importance of nutrition science, positive psychology, behavior change strategies, health coaching, exercise physiology, addiction management, and sleep medicine. The core pillars of lifestyle medicine encompass physical activity, restorative sleep, social connection, emotional and mental well-being, avoiding risky substances, stress management, and nutrition, with a growing emphasis on nature connection.
  • Behavior change is a challenging process, requiring understanding of theories and paradigms such as self-determination theory and self-actualization. Traditional medical approaches often involve the provider as the expert, prescribing solutions, while a coaching approach empowers patients as the drivers, focusing on their desires, abilities, reasons, and needs. This patient-centered approach requires empathetic listening, curiosity, and support to facilitate self-discovery and build self-efficacy.
  • Health coaching, grounded in psychological evidence-based models, aims to facilitate sustained changes in thoughts, feelings, and behaviors, contributing to enhanced health and well-being. Research demonstrates the effectiveness of health coaching in various disease states, including weight loss, diabetes, and cardiometabolic health. The foundation of health and wellness coaching is based on positive psychology, appreciative inquiry, the transtheoretical model of change, and motivational interviewing.
  • Implementing coaching practices involves identifying candidates for health coaching within clinical practice, often through questionnaires, surveys, or during appointments. A six-stage model for behavior change coaching emphasizes engaging patients, expressing empathy, focusing on self-care, exploring desires and values, eliciting strengths, planning steps, and ensuring follow-up and accountability. Numerous models exist for integrating health coaching into clinical practice, supported by resources like the AMA toolkit and a growing workforce of trained professionals.

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