Low-Calorie Diet Programme for Type 2 Diabetes
It has been reported in BBC news that the NHS has launched a one-year programme to support healthier lifestyle, weight loss and remission of Type 2 diabetes. The programme is based on two large studies that showed that as a result of low-calorie diet treatment, people living with Type 2 diabetes who were overweight, could improve their diabetes control, reduce diabetes-related medication and even achieve remission.
diagnosed with Type 2 diabetes within the last six years
BMI of 27kg/m2 or higher (adjusted to 25kg/m2 or higher in Black, Asian and Minority Ethnic (BAME) people) ◦A BMI obtained from self-measured weight is acceptable for referral. If this cannot be obtained, a clinic-measured value within the last 12 months may be used, provided there is no concern that weight may have reduced since last measured such that the individual would not be eligible for the programme at present.
HbA1c measurement taken within the last 12 months, with values as follows;◦if on diabetes medication, HbA1c 43 mmol/mol or higher
if not on diabetes medication, HbA1c 48 mmol/mol or higher
in all cases, HbA1c must be 87 mmol/mol or lower
if there is any concern that HbA1c may have changed since last measured, such that repeat testing may indicate that the individual would not be eligible for the programme at present, HbA1c should be rechecked before referral is considered
have attended a monitoring and diabetes review when this was last offered, including retinal screening, and commit to continue attending annual reviews, even if remission is achieved
current insulin user
pregnant or planning to become pregnant within the next 6 months
has at least one of the following significant co-morbidities; active cancer, heart attack or stroke in last six months, severe heart failure (defined as New York Heart Association grade 3 or 4), severe renal impairment (most recent eGFR less than 30mls/min/1.73m2) or active liver disease (not including NAFLD) or active substance use disorder, active eating disorder, porphyria, known proliferative retinopathy that has not been treated
has weight loss of greater than five per cent body weight in the past six months, or is currently on a weight management programme
has had, or is awaiting, bariatric surgery (unless willing to come off waiting list)
health professional assessment that the person is unable to understand or meet the demands of the NHS LCD Programme and/or monitoring requirements (due to physical or psychological conditions or co-morbidities)
If you are interested please contact the practice's clinical pharmacist. The service is not yet available but will be coming online imminently.