That's what I mentioned to Dr Kar but he pointed out it is "guidelines' not policy.. I did ask him to tell me how that wouldn't be used as policy by CCG's but he declined to answer that one...
That's what I mentioned to Dr Kar but he pointed out it is "guidelines' not policy.. I did ask him to tell me how that wouldn't be used as policy by CCG's but he declined to answer that one...According to NICE Guidelines NG28 as last updated in 2017
"
Do not routinely offer self-monitoring of blood glucose levels for adults with type 2 diabetes unless:
- the person is on insulin or
- there is evidence of hypoglycaemic episodes or
- the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery or
- the person is pregnant, or is planning to become pregnant. For more information, see the NICE guideline on diabetes in pregnancy.
The NHS plan is targeted at T2D specifically. It seems to reduce the Insulin Resistance that is a characteristic of that condition, and is something that a T1D is unlikely to suffer from. The diet is therfore probably not so suitable for T1D except as a pure weight loss program. T1D would need to continue insulin treatment during and after the diet period, so will not experience reversal. Some Insulin Dependant T2D et al may see improvement depending on the reason for their insulin need.
It's amazing that those who have done their research, know nice guidelines is nonsense. R's not about being hypo, its all about being hyper, therefore it th rose the eat well and balanced diet in affray.According to NICE Guidelines NG28 as last updated in 2017
"
Do not routinely offer self-monitoring of blood glucose levels for adults with type 2 diabetes unless:
- the person is on insulin or
- there is evidence of hypoglycaemic episodes or
- the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery or
- the person is pregnant, or is planning to become pregnant. For more information, see the NICE guideline on diabetes in pregnancy.
DIRECT was a 2 year study with 3 year follow up. The anniversary is 5 Dec 2018 for the end of the 2 years, The last update from Newcastle ac was in Dec 2017, and there have been no press releases since.then. So we should expect something soon,According to a mild twitter spat with Partha Kar yesterday that's not true! Although he didn't come up with any evidence and I have struggled to find any concrete data.
My own views on ND are fairly well known but if anything can be considered a "fad diet" then surely replacing food with artificially concocted shakes must be a prime contender. Yes the results have been promising but I still haven't seen any 5 year follow up data even though the initial trials started in 2011? It does make me wonder why?
There was an extensive review of SMBG in NG28 (2015) but the findings have been redacted down to what I posted above. The full report is quite sizeable,It's amazing that those who have done their research, know nice guidelines is nonsense. R's not about being hypo, its all about being hyper, therefore it th rose the eat well and balanced diet in affray.
People believe that the advice is correct. If you read the NICE guidelines for professionals they think that Joe blog vs, do not understand diabetes, incapable of self managing and monitering, not understand the results of the Bm. First treatment in some practices is go straight to metformin and not diet, exercise to control diabetes, they think people are NOT capable
Heightened anxiety and the use of the A1c was put forward for the need not to test. Under NICE guidelines. Self management and holistic approach i.e. What the patient would like suppose to be supported towards their own care. This is not happening,There was an extensive review of SMBG in NG28 (2015) but the findings have been redacted down to what I posted above. The full report is quite sizeable,
I think that NICE found that for the majority of T2D they are generally elderly and not so tech savvy/ There is also concerns that patients will suffer heightened anxiety if they self monitor, Those here on the forum are generally literate and capable of benefitting from SMBG, but this does not cover the majority of T2D that a GP sees on a day to day basis. We live in a bubble here on this forum and are not representative of the general populace.
According to a mild twitter spat with Partha Kar yesterday that's not true! Although he didn't come up with any evidence and I have struggled to find any concrete data.
My own views on ND are fairly well known but if anything can be considered a "fad diet" then surely replacing food with artificially concocted shakes must be a prime contender. Yes the results have been promising but I still haven't seen any 5 year follow up data even though the initial trials started in 2011? It does make me wonder why?
No I meant Counter balance or whatever it was called the first 2 proof of concept ND trials..DIRECT was a 2 year study with 3 year follow up. The anniversary is 5 Dec 2018 for the end of the 2 years, The last update from Newcastle ac was in Dec 2017, and there have been no press releases since.then. So we should expect something soon,
Just a diddy one.. I think he has muted me..you were right!I'm away from home for a few days, communing with academics, so haven't seen a great deal of Twitter. Did you have a spat with Dr Kar?
Im on it! Thanks for the tag, I've had guests staying with me all week and missed so much!!!@Debandez bbc article is asking for contact from t2’s.
Do you have type 2 diabetes? Would you take part in this low-calorie diet if your GP offered it to you? Have you been on a similar diet in the past? Email haveyoursay@bbc.co.uk .
Please include a contact number if you are willing to speak to a BBC journalist. You can also contact us in the following ways:
WhatsApp: +44 7555 173285
Tweet: @BBC_HaveYourSay
Text an SMS or MMS to 61124 or +44 7624 800 100
Please read our terms & conditions and privacy policy
Could be your chance to get the low carb alternative and your article and message in there!
Hmmm HMRC only issue 'guidelines' See what happens if you dont adhere to themThat's what I mentioned to Dr Kar but he pointed out it is "guidelines' not policy.. I did ask him to tell me how that wouldn't be used as policy by CCG's but he declined to answer that one...
I had no problem keeping the weight off after the ND (which I did with real food). After all that effort who is going to want to throw it all away and put the weight back on! In fact, 11 months after finishing I have actually lost 10lb more without actually trying (to lose any more that is, obviously I tried to keep off the weight I lost). And without any support. I just counted calories and reduced portion sizes, so that I did not overeat as I had been doing before. I can now tolerate a sensible amount of carbs like a non diabetic without raising my BGsI agree, When you explain it like this then it becomes clearer, and I was just concerned that Newbies may get the wrong ideas which is why I added the explanation since although I am a Low Carber myself, I do see the ND as viable especially for those not wanting the extra fuss of LC.
The point you make about the problems of follow through not being supported is valid, and of concern, since we do see reversals and needing to repeat the diet. It IS a diet in that it is time limited and not sustainable in long term, but I see it as a start to getting the NHS to consider using diet more robustly than it does at present. It is the first time I have seen the NHS admit to having a possible contender to bariatric surgery, which is their only cure mechanism to date. We should encourage this trial, since it may open the door to lifestyle changes such as LC being accepted at last. It is a stepping stone.
really ? i followed it for about six weeks probally nearer 1000 calories per day then followed lchf way of life since...the weight fell off in feb 2015 when diagnosed i was 119 kilos [ i had lost a bit since january ] after the eight weeks i had got down to 103 kilos now i am 99 kilos steady since may. bloods feb 12.5 june 5.5 september 5.3 ...............I've tried Michael Mosleys 8 week blood sugar diet, along with kettlebells, I did it for 7 weeks, logged every morsel of food on fitness pal, and lost...wait for it...nothing!!!
i agree withyou /... see previous posting and i add that ive got more go about me mind sharper and fifteen years of knee pain and sciatica gone...I had no problem keeping the weight off after the ND (which I did with real food). After all that effort who is going to want to throw it all away and put the weight back on! In fact, 11 months after finishing I have actually lost 10lb more without actually trying (to lose any more that is, obviously I tried to keep off the weight I lost). And without any support. I just counted calories and reduced portion sizes, so that I did not overeat as I had been doing before. I can now tolerate a sensible amount of carbs like a non diabetic without raising my BGs
Yep really, I'm one of those despite being low carb just cannot lose the menopause weight I put on.really ? i followed it for about six weeks probally nearer 1000 calories per day then followed lchf way of life since...the weight fell off in feb 2015 when diagnosed i was 119 kilos [ i had lost a bit since january ] after the eight weeks i had got down to 103 kilos now i am 99 kilos steady since may. bloods feb 12.5 june 5.5 september 5.3 ...............
that only works if you actually were overeating before.I had no problem keeping the weight off after the ND (which I did with real food). After all that effort who is going to want to throw it all away and put the weight back on! In fact, 11 months after finishing I have actually lost 10lb more without actually trying (to lose any more that is, obviously I tried to keep off the weight I lost). And without any support. I just counted calories and reduced portion sizes, so that I did not overeat as I had been doing before. I can now tolerate a sensible amount of carbs like a non diabetic without raising my BGs
We discussed these some while back, and you had the info then, Have you mislaid it? I found you to be the fount of knowledge there. The papers were published and archived and we had links in the Forum. This is where I found out all I know about ND,No I meant Counter balance or whatever it was called the first 2 proof of concept ND trials..
Counterpoint it was called published in 2013..I still have the e-mail from Prof Taylor but have never seen any follow up..We discussed these some while back, and you had the info then, Have you mislaid it? I found you to be the fount of knowledge there. The papers were published and archived and we had links in the Forum. This is where I found out all I know about ND,
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?