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Type 2 Diabetes: NHS to offer 800 cal diet
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<blockquote data-quote="Pipp" data-source="post: 1932618" data-attributes="member: 100904"><p>I would be much more supportive of it if instead of a quick consultation, where neither HCP or patient has understanding of the issues, both would get themselves fully informed, and apply knowledge to the individuals' unique circumstances. Some obese newly diagnosed T2 or pre-diabetes, may find getting quick results with weight loss gives them the start they need. In recent TV programmes featuring very low calorie diets, the impression given was that a quick 8 weeks of food replacement products, and a lowering of HbA1c to what is regarded as pre-diabetes levels and the job is complete. That is dangerous mis-information. I don't want to see the baby thrown out with the bathwater, because, as I mentioned already, in the right circumstances very low calorie diets have value. It is not a cure all that is being touted. </p><p></p><p>What I believe would be a better solution would be to have HCPs properly educated about all alternative methods of control. That would include LCHF, IF, keto, etc, so that the knowledge can be shared with T2 and pre-diabetic patients, allowing them to make informed choices. (Incidentally, I wonder how many GPs or people with T2 are aware that they can have DCUK Low Carb Programme on presciption?) What I fear we will get with current proposals is that people will be bullied into meal replacement VLCDs, regardless of whether that is a suitable choice for them. The shame will be heaped on those who cannot tolerate them.Those that do succeed, will be given the false hope that they have no more to do, or be advised the usual low fat carb at every meal that the HCPs can't see beyond, and the whole exercise will have been in vain, and demoralising for the poor gullible patient as they regain lost weight and see increasing blood glucose all over again.</p></blockquote><p></p>
[QUOTE="Pipp, post: 1932618, member: 100904"] I would be much more supportive of it if instead of a quick consultation, where neither HCP or patient has understanding of the issues, both would get themselves fully informed, and apply knowledge to the individuals' unique circumstances. Some obese newly diagnosed T2 or pre-diabetes, may find getting quick results with weight loss gives them the start they need. In recent TV programmes featuring very low calorie diets, the impression given was that a quick 8 weeks of food replacement products, and a lowering of HbA1c to what is regarded as pre-diabetes levels and the job is complete. That is dangerous mis-information. I don't want to see the baby thrown out with the bathwater, because, as I mentioned already, in the right circumstances very low calorie diets have value. It is not a cure all that is being touted. What I believe would be a better solution would be to have HCPs properly educated about all alternative methods of control. That would include LCHF, IF, keto, etc, so that the knowledge can be shared with T2 and pre-diabetic patients, allowing them to make informed choices. (Incidentally, I wonder how many GPs or people with T2 are aware that they can have DCUK Low Carb Programme on presciption?) What I fear we will get with current proposals is that people will be bullied into meal replacement VLCDs, regardless of whether that is a suitable choice for them. The shame will be heaped on those who cannot tolerate them.Those that do succeed, will be given the false hope that they have no more to do, or be advised the usual low fat carb at every meal that the HCPs can't see beyond, and the whole exercise will have been in vain, and demoralising for the poor gullible patient as they regain lost weight and see increasing blood glucose all over again. [/QUOTE]
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