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Message: <blockquote data-quote="littlebrownbird" data-source="post: 2695070" data-attributes="member: 531917">My previously good HbA1c (42 in June 2023) tipped in to the prediabetic zone (45 in Jan 2024) and I was offered the <a href="https://livahealthcare.com/nhs-diabetes-prevention-programme/" target="_blank">Liva programme for prediabetes</a>. While the aim is for me to lose weight, exercise more and get my HbA1c back in range, I'm 3 months in and despite my request for an HbA1c test to check my progress at the 12-week point, the program only allows for a test at the 6-month point. (The program is 9 months long with an initial 30-minute Zoom with a health coach - a qualified dietician, weekly video messages from her for the first 12 weeks and then fortnightly for the remainder of the program - there is no opportunity to chat - ask advice mid-week).The kicker is the "chat group" on the Liva app. Some of the photos of peoples' supposedly healthy meals are triggering - much brown UPF bread, dried fruit, cereal, honey, "treats", lack of vegetables though the "Liva plate" is 50% vegetables for each meal - the whole thing is carb and low-fat skewed. I have benefited from doing strength training at a local gym but the diet advice is demoralising. I'm ploughing on with it - building muscle and losing fat v e r y slowly - and have decided to pay for a test for my HbA1c, an iron panel as I'm prone to anaemia and CRP-hs to check if I've managed to lower my inflammation. While I have to give the NHS credit for this program, there is not sufficient coaching time for me and I feel like participants are left to their own devices.</blockquote>

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