- Check Eligibility & Register
- Learn More About the Program
- Find a Location
- Access Tools & Support
Small Steps for Big Changes is an evidence-based diabetes prevention program that empowers you to make lasting changes to your eating and exercise behaviours and reduce your risk of developing type 2 diabetes.
Whether you’re ready to participate, refer a patient, or become a program delivery partner, we have the information and resources you need.
Small Steps for Big Changes is an accessible, personalized diabetes prevention program designed to help adults significantly reduce their risk of developing type 2 diabetes. Through 6 sessions over 1 month, you’ll work one-on-one with a certified coach to build realistic eating and exercise habits that fit your unique lifestyle and truly make a difference in your long-term health.
With our personalized support, research-based guidance, and encouragement every step of the way, you’ll gain the confidence and tools to create lasting, healthy changes that work for you now and into the future.
Developed by the Diabetes Prevention Research Group at The University of British Columbia, Small Steps for Big Changes brings together years of leading-edge research and personalized coaching to help you make healthy changes that last.
70%
Of participants lowered and maintained their A1c 1 year after the program.
6.7lbs
Average reduction in body weight 1 year after the program.
4.07cm
Average reduction in waist circumference 1 year after the program.
50min
Average increase in moderate-to-vigourous physical activity per week 1 year after the program
This isn’t about following strict rules or completely changing your lifestyle overnight. Small Steps for Big Changes is built around understanding your unique goals, your challenges, and motivations so you can make meaningful progress one step at a time.
Small Steps for Big Changes knows the best solutions aren’t one-size-fits-all. Our program empowers you to make changes you can maintain long after the program ends.
Small Steps for Big Changes combines personalized one-on-one coaching, evidence-based behaviour change strategies, and community-based delivery to make type 2 diabetes prevention more accessible, inclusive, and practical for those who need it.
Every journey looks a little bit different, but every success starts with one small step. Hear from participants who have built supportive habits, reclaimed their health, and made lasting changes to reduce their risk of type 2 diabetes.
In the first 4 months of the program, I lost 22 pounds and feel fantastic. I continue to use the knowledge I gained to make informed and smart decisions regarding my health.
If you are concerned that you may be at risk of developing type 2 diabetes, or are unsure if you are living with prediabetes, completing a simple risk assessment is the first step toward understanding your health and determining whether Small Steps for Big Changes is right for you.
Choose your location, and take a few moments to complete the assessment. If you’re eligible, we’ll guide you through the next steps and connect you with the support you need to begin your journey with us.
Risk AssessmentWhether you’re just getting started or are simply looking to learn more, explore our articles, research, healthy living tips, and educational resources to help you better understand the world of prediabetes and type 2 diabetes, and support your long-term health.
