Zinn, CarynCampbell, Jessica LPo, MarinaSa'ulilo, LosiFraser, LilyDavies, GlenHawkins, MarcusCurrie, OliviaUnwin, DavidCrofts, CatherineHarris, NigelStewart, TomSchofield, GrantAhmed, Syed Anees2025-01-292025-01-292024-12-24Journal of Diabetes Research, ISSN: 2314-6745 (Print); 2314-6753 (Online), Hindawi Limited, 2024(1), 4843889-. doi: 10.1155/jdr/48438892314-67452314-6753http://hdl.handle.net/10292/18549This study explores a novel healthcare model employed in the primary care setting integrating a carbohydrate-reduction dietary approach and health coaching for managing prediabetes (PD) and Type 2 diabetes (T2D) in New Zealand. Using qualitative methods, we conducted focus groups with 46 patients and individual interviews with health coaches and general practitioners across two regions. Five major themes emerged from inductive thematic analysis: reduced carbohydrate lifestyles, health coaching, implementation, empowerment, and sustainability. Patients reported significant health improvements, including weight loss, reduced medication burden, and increased energy. Challenges included resistance from some medical professionals and negative public perceptions. Health coaching played a crucial role in patient care, providing individualised support and enhancing health literacy. The study found that this model both improved patient outcomes and also alleviated the burden on healthcare professionals by managing time-intensive aspects of patient care. Barriers to the adoption of this model include scepticism about low-carbohydrate diets and the need for more education and awareness among healthcare professionals. The findings suggest that this healthcare model has the potential to transform the management of PD and T2D in primary care, shifting patients from lifelong medication dependence to significant health improvements and potential disease remission or reversal.Copyright © 2024 Caryn Zinn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.http://creativecommons.org/licenses/by/4.0/carbohydrate reductionhealth coachinghealth system transformationlifestyle medicineprediabetesprimary caresustainability in healthcareT2D managementT2D managementcarbohydrate reductionhealth coachinghealth system transformationlifestyle medicineprediabetesprimary caresustainability in healthcare32 Biomedical and Clinical Sciences3202 Clinical SciencesHealth DisparitiesDiabetesWomen's HealthHealth ServicesNutritionClinical Research7.1 Individual care needs8.1 Organisation and delivery of services7.3 Management and decision makingMetabolic and endocrineGeneric health relevance3 Good Health and Well Being4 Quality Education1116 Medical Physiology3202 Clinical sciencesAdultAgedDiabetes Mellitus, Type 2Diet, Carbohydrate-RestrictedFemaleFocus GroupsHealth LiteracyHumansMaleMentoringMiddle AgedNew ZealandPrediabetic StatePrimary Health CareQualitative ResearchHumansDiabetes Mellitus, Type 2New ZealandMaleFemaleMiddle AgedDiet, Carbohydrate-RestrictedFocus GroupsPrimary Health CareAgedPrediabetic StateAdultMentoringQualitative ResearchHealth LiteracyHumansDiabetes Mellitus, Type 2Prediabetic StateFocus GroupsQualitative ResearchAdultAgedMiddle AgedPrimary Health CareNew ZealandFemaleMaleDiet, Carbohydrate-RestrictedHealth LiteracyMentoringJournal ArticleOpenAccess10.1155/jdr/4843889