Scott Alford, the manager for grounds and guest parking at ECU Health Medical Center, generally considered himself to be healthy. Then, in 2023, Alford received some surprising news: his A1C, a blood test that measures the average blood sugar level over the last two-to-three months, was 10.9. For reference, a normal A1C level is less than 5.7. Prediabetes is 5.7 – 6.4, and diabetes is 6.5 and higher. “I was clearly in the diabetic category,” Scott said. “I asked the doctor what I should do. He gave me two medications and told me we’d revisit the issue at my next appointment.”
That solution didn’t sit well with Scott, so he made a decision. “I knew about ECU Health’s Lifestyle Medicine clinic because I knew some co-workers had used it,” he said. “I called them up and told them my story. They wanted to get me in right away. By the end of that call, I had an appointment with the nutritionist and a lifestyle coach for the very next week.”
Lifestyle Medicine is an evidence-based approach to preventing, treating and reversing diseases through healthy behaviors, and the ECU Health Lifestyle Medicine clinics offer many individual, group and virtual services to help community and team members meet their personal health goals.
“Our team of professionals includes providers, registered dieticians, lifestyle coaches, exercise physiologists, nurses and chefs who recognize the importance of including the six pillars of lifestyle medicine into the individualized care plans for our patients and team members,” said Brenda Leigh, the director of Lifestyle Medicine at ECU Health. The six pillars include increasing the consumption of whole, plant-based food, increasing aerobic activity, getting enough sleep, decreasing unhealthy substances (like tobacco or alcohol), maintaining healthy relationships and managing stress.
Scott first met with Lindsay Luschwitz, clinical dietitian III, to begin his Lifestyle Medicine journey. “I don’t drink and I don’t smoke, but I did drink between five and seven big soft drinks or sweet teas a day,” Scott shared. “I was also in the habit of stopping at McDonald’s every morning for breakfast and going out for lunch every day.”
When Scott shared this information with Lindsay, she didn’t shame him as he expected. Instead, she gave him different strategies and choices to try. “When we first met, Scott told me he wasn’t going to bring his lunch to work,” Lindsay recalled. But after working with Lindsay for more than a year, Scott said he now brings his lunch to work most days of the week. “She never said it was something I had to do,” Scott said. “It was always my decision. She’d suggest options and sometimes I liked them and sometimes I didn’t.”
Now, Scott drinks water or Sprite Zero instead of regular sodas and sweet tea, and he eats smaller portions while making better choices. “I eat more fruit now than I ever have in my life,” he said. Lindsay also suggested he use an app, Yuka, on his phone to track the nutritional value of the foods he ate so he could make informed decisions. “I love ice cream,” Scott said. “And I used the app to find an ice cream I could eat. I took the options to Lindsay and she pointed me to a Greek yogurt brand that I really like.”
The work paid off. In 2024, at his next doctor’s appointment, Scott was pleased to find that he was down 25 pounds and his A1C was a 5, well within the normal blood sugar guidelines. He is now off all his daily meds and only takes a once weekly medication to help. “I am practicing the strategies Lifestyle Medicine gave me. I’ve improved my diet, and I’ve increased my exercise. And I can see the difference in the mirror. I’m down a size in my pants and shirt. My joints don’t hurt so much when I stand up from a chair, and my vision, which I thought was an issue with my contact lenses but was actually due to high blood sugar, has improved. I just feel better.”
Scott’s co-workers also noticed changes, and some approached him about what he was doing. “They initially noticed I wasn’t going out to eat for lunch as often, so I talked with them about what I was doing.”
Scott has been doing more than just sharing information; he’s also been a key player in encouraging his team to get healthier. “Lindsay shared during one of our bimonthly meetings that they had a teaching kitchen in the Lifestyle Medicine Clinic within the Wellness Center and they wanted to have people come out and learn recipes and information about healthier meal options. I told her I’d bring my team, and that’s what I did.” Scott brought members of his grounds and parking team to the Wellness Center for an hour-long session with Lindsay, Dr. David Michael and Dr. Susan Houston, where they cooked, ate and talked about how the Lifestyle Medicine clinic can help.
“This is our Dining with a Doc series,” Lindsay explained. “Dr. Houston and I are culinary trained chefs, so she or I prepare a meal, and Dr. Michael is there, and we talk about the meal we’re making and nutrition. And then we go through Lifestyle Medicine and what we do.” The Lifestyle Medicine clinic offers the monthly Dining with a Doc program free for community members through a grant from Pitt Partners for health. As a result, Alford said other members of his team are now making positive changes and some are visiting the Lifestyle Medicine clinic.
While it hasn’t always been easy to make these lifestyle changes, Scott said they’ve been worth it. “It’s tough sometimes. Life is busy, and sometimes you just have to decide to get more steps or stand up rather than sit at your desk. But the clinic has made things easier because they give me information that’s proven to help.” And, he emphasized, seeing and feeling the difference has been key. “At first it was that 10.9 A1C that made me want to change,” Alford said. “That number really shocked me. But now I can also see and feel a difference and that’s why I want to keep doing this. It’s a conscious decision every day to make the best choices.”
Lindsay emphasized that a person knowing their “why” is very important. “We are here to support you and give you education and resources, but when you’re not here, the choice is up to you. If you know your ‘why,’ you won’t revert to old habits,” she said. Scott agreed, saying that he plans to continue practicing the new skills he’s learned the past year. “I intend to keep using these strategies,” he said. “Doing better isn’t that hard; all I had to do was ask for that support. Lifestyle Medicine has a great program, and you just have to reach out to them and take that first step.”
Both Scott and Lindsay want more people to also take that first step to learn more about the Lifestyle Medicine clinic and the services it offers. “It was incredibly easy to get started,” Alford said. “I called them and there was no excess stuff to do, no preapproval, no paperwork. It’s an easy in and out, and if you can’t make it in person, they’ll do telehealth visits.” Supporting team members in this way is very important, Lindsay said. “We want to target our team members because it benefits everyone,” she said. “Healthier team members are more productive, have fewer sick days and are generally happier. We want to expand our reach and make it more approachable.” Lindsay noted that they take various forms of insurance, and for ECU Health team members on the medical plan, they are eligible for up to six free visits with a dietitian, among other free services. “Our message is that many chronic issues like diabetes, obesity and high cholesterol can be improved by lifestyle changes and nutrition. Even if you’re not ready to make a huge change, we’re ready to meet you where you’re at.”
To learn more about the Lifestyle Medicine clinic, Leigh encourages community and team members to visit their website here or call at 252-847-5590 for more information.