NHS and

Tackling type 2 diabetes

We’ve helped thousands of people prevent and manage type 2 diabetes.

A new kind of healthcare

Clinicians across the country are using Second Nature’s pioneering habit change techniques and technology to improve health outcomes.

Backed by the NHS

The first online habit change programme to be commissioned by the NHS.

Loved by doctors

Second Nature methods have been adopted across more than 50 CCGs.

Delivering results

40% of people lower their HbA1c to below the diagnostic threshold for type 2 diabetes.

Informed by experts

Research is ongoing in collaboration with Imperial College and UCL.

Published data

With a 79% completion rate, people using the programme achieved an average 8.3% weight loss at 6 months (about 7 kg)and an average HbA1c reduction of 13.6 mmol/mol at 3 months. 40% lowered their HbA1c below the diagnostic threshold for diabetes. Our outcomes are published in the peer-reviewed Diabetic Medicine, Advanced Technologies & Treatments for Diabetes and Future of Healthcare Journal.

Effectiveness of a Digital Lifestyle Change Program in Obese and Type 2 Diabetes Populations: A Service Evaluation of Real-World Data.

Participants who registered weight readings after 6 and 12 months achieved significant weight loss. NHS referrals lost more weight than self-funded participants, male participants lost slightly more weight than female participants, and people over the age of 60 achieved the most weight loss.

Utilising a digital lifestyle intervention to improve weight and glycaemic control in people living with type 2 diabetes; a service evaluation of real-world data. Hampton & Kar et al. October 2018 - ATTD

Our work in Portsmouth delivered significant weight loss and HbA1c outcomes for people living with type 2 diabetes. Patients were referred by practice and specialist nurses resulting in 79% of individuals enrolling following referral.

Second Nature: A new digital technology for lifestyle change in obese and Type 2 diabetes populations: a service evaluation of real-world data. Hampton et al. October 2018 - Diabetic Medicine

Comparing our commercial and NHS participants, 41% of those referred via the NHS were male. Even in this traditionally hard to reach group, significant weight loss outcomes were achieved.

Service evaluation of a digital behavioural change programme. Hampton & Allen et al. October 2017 - FHJ

In our initial study we were able to achieve and sustain clinically significant weight loss, exceeding the 5-7% weight loss outcomes that are associated with >50% reduction in risk of type 2 diabetes.

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Managing type 2 Diabetes in North West London

We delivered our programme to hundreds of people living with type 2 diabetes in 6 CCGs across North West London, helping them change their behaviours to better manage their condition. Find out more about the results of our first NHS pilot – or hear it straight from the people themselves.


We have all the required accreditations for commissioning in the NHS

  • Clinical Risk Management DCB 0129 (SCCi 0129)
  • Data Security Protection (DSP) Toolkit
  • National Information Board Accreditation
  • NHS App Library
  • Cyber Essentials Plus
  • Information Governance Toolkit 14.1

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