Chronic Disease Prevention and Management

The Institute for Health System Transformation and Sustainability (IHSTS) is investigating leading practices and promoting the acceleration of action on type 2 diabetes prevention, management and reversal in BC.

Type 2 diabetes is largely a preventable and reversable chronic illness with associated significant poor health outcomes for individuals and costs to the health system. Approximately 10 percent of the BC population has been diagnosed with diabetes and it is estimated that another 20% are either undiagnosed or have prediabetes. It is imperative that action be taken to support the prevention and remission of T2D. IHSTS is aiming to reverse the course of increasing prevalence rates and to change the dialogue from one of “managing a chronic, progressive disease”, to one of hope, where type 2 diabetes is reframed as a preventable and/or a “reversible condition”.

The project approach has been to:

  • Synthesize, curate and share knowledge about innovation in type 2 diabetes policy as well as population and clinical interventions;
  • Build partnerships and promote dialogue focused on key strategies to reverse the course of type 2 diabetes;
  • Support idea generation and structures to translate ideas to practice at scale.

Since December 2018, IHSTS has:

  • conducted extensive consultation and engagement with clinicians, population health experts, patients, policy makers, researchers, educators and community agencies;
  • completed a comprehensive environmental scan looking at research and programs focused on prevention,
    management and reversal of type 2 diabetes;
  • developed an “asset list” that identifies type 2 diabetes resources, programs, policy and key research organizations available in BC, Canada and Internationally.
  • Brought together 75 experts and thought leaders representing Public Health, Research, Academics, Clinical Management and Patients in a day long dialogue session. The day resulted in building connections and further networking between the sectors represented; sharing and discussion of new approaches to prevent and manage type 2 diabetes; and generation of ideas on how to move forward in addressing the issue.
  • Continued to collaborate with interested partners to put the ideas generated at the dialogue session into practice.

Over the coming months, IHSTS with partners will continue to explore opportunities to spread leading practice, facilitate networking and connections between interested stakeholders, promote research connections, and plan to host further sessions of key stakeholders.


Dr. Dax Biondi – Practical and Sustainable Ways for Busy Family and Specialist Physicians to Incorporate Therapeutic Nutrition Counselling into their Practices
Dr. Michelle Klassen – Behaviour Factors Affecting Weight Loss
Dr. Mark Cucuzzella – Implementing a Low Carb Approach in Hospital
Dr. Shawna Lamond – Breastfeeding and Insulin Resistance
Dr. Barbra Allen Bradshaw & Dr. Carol Loffelmann – Food as Medicine
Dr. Gerard MacDonald – The Microbiome: We are Not Alone – it’s Role in Health and Disease
Prof. Jim Johnson – Excess Insulin as a Driver of Insulin Resistance, Obesity and Disease
Dr. Eric Westman – Using Personalized Nutrition to Reverse Type 2 Diabetes
Dr. Andrew Mente – Carbohydrates, Fat Consumption and CVD: A More Complete Picture
Dr. Robert Cywes – Diabetes Understood – Diabetes Resolved
Lily Nichols – Therapeutic Nutrition for Gestational Diabetes
Franziska Spritzler – Carb Restriction for Diabetes and Obesity – a Dietitians Journey
Dr. Stephen Cunnane – Emerging Role of Ketones in Healthy Brain Aging
Dr. Catherine Crofts – Understanding and Diagnosing Hyperinsulinemia
Dr. Jeff Stanley – Deprescribing 101 for LCHF and Ketogenic Diets
Adam Brown – Low Carb and Ketogenic Diets in Type 1 Diabetes