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VLCD

Emjay

Member
Messages
14
Location
Bristol
Type of diabetes
Treatment type
Tablets (oral)
Has anyone tried the Newcastle ... Protocol? It’s a short sharp shock of very low calorie eating for [emoji6]- weeks followed by a gradual return to eating appropriate meals for Type diabetes. I’m just starting it and wondering what people think.
 
Hi @Emjay - welcome.

I'd been fascinated by the Newcastle protocol recently, I think it was revolutionary for it's time, but is just a little behind the science now, which is really ironic, given how forcefully Dr Roy Taylor makes the point that medical approaches should adjust to new evidence.

That said, it works - to a point. Any sudden weight loss will strip fat from the liver and pancreas and have the effect that is described. I just think that the acknowledged weak point of the program is "how do you transition to a new regime for the rest of your life".

Remember that the meal replacement shakes were only supposed to be a laboratory tool.

Don't take that as negative though - if you have started and you are motivated - keep at it, but consider that the reason most people do not have long term success with any form of "diet" - including the short sharp shock of the meal replacement shakes - is that they fail to factor in hunger, and what causes it.

A more nuanced approach would be to say that if you can drastically reduce insulin, you will achieve the same kind of sudden weight loss, then you can be less drastic, but keep it low, and you never need to feel hungry, while keeping blood glucose down and reducing insulin resistance over a longer period.

If you were to say that "appropriate meals for Type 2 diabetics" are those that keep insulin low, then I'm right on board, and my own journey hits all the same points as the Newcastle 3 point plan - just gone about in a different way.

There are some on this forum who have had success though, and I'm also too recently into remission to be able to claim a better long-term success rate in my experiment of one. I have nothing but respect for Roy Taylor and what he's achieved - even thinking that reversing T2DM would be much more difficult if not for him.

Good luck, and let us know how things progress...
 
I think one of our members @Pipp used it a few years ago had great success with it, I’ve tagged her for you
 
Third day. So far it’s easy to do. Just trying to identify which shakes are actually palatable. Blood sugars lower already and even having to keep a check against low bs and likely have to stop gliclazide.
Have you checked with your GP about doing the diet?
I am pretty sure that Gliclazide and the Newcastle diet are not compatible.
 
Thanks forthe tag @lovinglife.

@Emjay, I have indeed used the Newcastle diet protocol, albeit a long time ago. Way back in 2011, I had been attending weight management clinic, following their advice, (the typical NHS low fat ‘healthy carb’ regime) but slill gaining weight , and ever increasing HbA1c. The only thing left for them to offer was bariatric surgery. Although lots of people would choose that route, the thought filled me with dread, having have lots of different surgeries in the past, that hadn’t always been successful. I suggested that I just follow the bariatric diet without having the surgery, and was riddiculed.

I found some research , the Taylor et al Newcastle paper, that had set out to determine just that. Could T2 diabetes be put into remission by a very low calorie diet? Due to me being persistent, the clinic agreed to support my decision to replicate the Taylor study. This support was necessary, as I had been on meds for hypertension, and T2. I used a total food replacement method. Over 6 months , with a break of a month after 12 weeks lost 49kg, and within days blood glucose had returned to non-diabetes levels.
I didn’t feel hunger, or any ill effects, and was able to exercise , feeling full of energy.

I maintained weight fairly well for around three years, until I needed surgery for long term problems, following a previous road accident, and earlier abdominal surgeries. I needed gallbladder surgery, too. Immobility for a year and but also not having a follow on eating plan were errors for me.

*A note of caution, I hadn’t been informed of the need for small amount of oil, and a portion of vegetables. So the tiny grain like gall stones grew large enough to cause blockage of bile duct* I would recommend having the veg and oil in addition to meal replacements to avoid gallbladder problems.

some 14 years later, I am maintaining Bg levels and HbA1c in pre-diabetes levels. At 70 years of age and 20 years after diagnosis, no diabetes complications, I am content with that. Could do with losing some more weight, but with Low carb healthy fats diet I tend to maintain , rather than lose weight.

At the completion of the ND food restriction phase, it is important to have a plan for a follow on way of eating for life. I am wondering what you mean by “a gradual return to eating appropriate meals for Type
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diabetes,” @Emjay ? It is not enough to think that you can go back to previous diet, even if following advice to eat less of what you had before. The carbs were a problem for me. They seemed addictive. I also was very mislead when first embarking on LCHF regime, by the suggestion of having ‘bulletproof’ coffee, and that I could eat unlimited bacon, cheese, butter and cream. That made me gain some weight. My understanding of healthy fat now includes olive oil, avocado, coconut oil, some cheese, nuts, but I do need to restrict these. Certainly can’t eat the unlimited quantities some folks can.

The things I wish I had known before:
Have regular checks with HCP, as med needs could change very quickly
Make sure your nearest and dearest are supportive
use the oil and vegetables, not just the meal replacements
Drink plenty of water to stay hydrated
Have a follow on dietary plan. Low carb.
Keep referring to the Newcastle diet research. It will change, and has been adapted since my first encounter with it.

I wish you every success.
 
Thank you for your advice and encouragement. Well done you for all the changes you’ve made and in difficult circumstances. Day and all well. No hunger and feeling fine energy wise. Could drink more water I think. Average bs now [emoji[emoji6]][emoji6]% in range as opposed to only [emoji6]% before I started. kg down. All temporary I know but it is encouraging. Gliclazide is stopped. Keeping up with fats and veggies ok. Got a friend’s birthday night out on [emoji[emoji6]]th March so wondering how to navigate that.
 
Huh. Why all those weird blocks and my numbers altered?
How are you using the forum? if you’re using the app they are waiting to be updated and aren’t functioning properly- see the post in this link

 
Sorry to be so technologically challenged but how do I access this discussion forum through my browser rather than the app which is what I have been doing - hence the blocks and emojis
 
Sorry to be so technologically challenged but how do I access this discussion forum through my browser rather than the app which is what I have been doing - hence the blocks and emojis
Go onto google, safari or your preferred search engine, search diabetes.co.uk/forums - click on that link and you’ll be asked to log in. You can tick a box to stay logged in then every time you come back through your browser you will be logged in. You can chose to log in & out each time of course
 
Yeah. Think I’m in the right place now.
So to repost
Thank you for your advice and encouragement. Well done you for all the changes you’ve made and in difficult circumstances. Day 4 and all well. No hunger and feeling fine energy wise. Could drink more water I think. Average bs now 85% in range as opposed to only 62% before I started. 2kg down. All temporary I know but it is encouraging. Gliclazide is stopped. Keeping up with fats and veggies ok. Got a friend’s birthday night out on 7th March so wondering how to navigate that.
 
Has anyone tried the Newcastle ... Protocol? It’s a short sharp shock of very low calorie eating for [emoji6]- weeks followed by a gradual return to eating appropriate meals for Type diabetes. I’m just starting it and wondering what people think.

Hi Emjay. I tried a VLCD, based on Prof Taylor's work a couple of times. Two months a piece. I can't remember how many years apart - five maybe?

I liked the dual cycle model of Taylor and co quite a lot, and I liked the straight forward nature of the idea of stripping fat from the pancreas and liver to be so effective when it comes to improving health outcomes for those with Type two diabetes.

I agree with Chris above about it being too simple really! But it not detracting ultimately from the fact that many folk, I would suggest - with what the Swedes call milder forms of type two, as in obesity and age related type two - do in fact go into remission and stay there after doing this what amounts to, in my own words - a semi-starvation diet for a couple of months.

I have always thought finding out if this is in fact - your situation, is well worth giving the VLCD method a good bash. I do not regret giving it two tries in fact - at least now I know that what ails my poor ol blood glucose system (in its entirety) is not so sensitive to the state of my fat cells, at this stage of my life, and my diabetes at least.

I'm interested that you are finding it easy! This is a good thing! Especially if you do the portion control on the 'get well plate /food pyramid' way of eating afterwards in the maintenance period? (That being - a forever for you kind of thing!) But just in terms of getting through two months of so little food. The second time I did it was better than the first as they had adapted the macros distribution to include healthy fats and raised the calorie amount along with that.

The other thing that doing the VLCD did for me is give me a really up close and personal look at food and the fuel it provides, and the calorie impression was well established the second time, and meant I never have to think about calories again, certainly not count them! And that suits me fine.

But it certainly gave me a good clear look at the role of food in my own life, and yes I would say - a better look and understanding of what is called 'food addiction' (I hate that expression actually - as every animal is addicted to food).

The second time round - also the role of alcohol, as alcohol has a significant calorie/energy load, so cannot be a part of a VLCD.

That you will have your own up close and personal look at your own consumption after this is of course an excellent and interesting thing, I feel.

And best of for the duration!
 
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