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Type 2 Diabetes: NHS to offer 800 cal diet
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<blockquote data-quote="NicoleC1971" data-source="post: 1932050" data-attributes="member: 365308"><p>I agree that long term maintenance is tricky if you've done 800 calories of shakes for 8 weeks and people will need lots of dietary re education. There was follow up of the original trial and some people had kept some of the weight off....... Low carb seems the better option and the VIRTA health trial should have been considered although it isn't of the RCT gold standard which NICE demands...Then there is all politics of reversing out of the energy balance and fat is bad messaging.</p><p>The media message did not got into the details of why Professor Taylor's approach worked: namely that people lost visceral fat around their livers and pancreases and NOT just mass (15kg on average). This is why bariatric patients universally reverse their diabetes in the immediate weeks after surgery and long before they've lost lots of weight.</p><p>Lastly Prof Taylor is going to investigate the options for the sunbstantial minority of type 2s who are TOFIS! (THIN ON THE OUTSIDE FAT ON THE INSIDE).</p><p>Glad to hear of the principle of reversal being accepted and also wondering what the PREVENT for pre diabetes programmes will be like and if they will actually get 100,000 folks to attend.</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 1932050, member: 365308"] I agree that long term maintenance is tricky if you've done 800 calories of shakes for 8 weeks and people will need lots of dietary re education. There was follow up of the original trial and some people had kept some of the weight off....... Low carb seems the better option and the VIRTA health trial should have been considered although it isn't of the RCT gold standard which NICE demands...Then there is all politics of reversing out of the energy balance and fat is bad messaging. The media message did not got into the details of why Professor Taylor's approach worked: namely that people lost visceral fat around their livers and pancreases and NOT just mass (15kg on average). This is why bariatric patients universally reverse their diabetes in the immediate weeks after surgery and long before they've lost lots of weight. Lastly Prof Taylor is going to investigate the options for the sunbstantial minority of type 2s who are TOFIS! (THIN ON THE OUTSIDE FAT ON THE INSIDE). Glad to hear of the principle of reversal being accepted and also wondering what the PREVENT for pre diabetes programmes will be like and if they will actually get 100,000 folks to attend. [/QUOTE]
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