‘Diabesity’, a term that combines diabetes and obesity, is the new epidemic in healthcare. To enhance and extend the provision in general practice, a new service was introduced to address the needs of patients at high risk of diabesity. The Diabesity Prevention Programme (DPP) aims to proactively identify patients at high risk of developing type 2 diabetes and explore the effects of structured education and health promotion. Its results indicate that the DPP has the potential to improve patients’ outcomes, and that there is an opportunity to implement similar programmes in other primary care settings to reduce patients’ risks of diabesity and its resulting complications. This paper reports on early results from its implementation in an economically deprived area of Greater Manchester.