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Xyla low calorie programme.

KirstyRobbie

Active Member
Messages
44
Location
North Somerset
Type of diabetes
Type 2
Treatment type
Non-insulin injectable medication (incretin mimetics)
Hello,

Has anyone done the xyla low calorie nhs programme or have been offered it?

The diabetic pharmacist and nurse have suggested either the ozempic injection or they’ve offered me this year long course ( only available in some parts of the UK) where for 3 months you have complete meal substitution with shakes/soups and then counselling/support with a specialists to reintroduce food and to overcome binge eating?!

I am considering it, but I’d like some feedback if anyone has trialled it first?

Thank you
 
Some here have done its predecessor which was the Newcastle Diet Plan. I doubt that they are gong to keep you on the shakes for a year since that would not provide sufficient nutrition. That I presume will be the first stage and only last between 8 and 12 weeks. Then there will be a reintroduction to normal foods, but reduced calorie and portion size . and then finally the third stage which will be reduced calorie. Imagine it as a segue of Slimfast diet followed by weightwatchers. If you last a year like that then that would be amazing, But what happens when the plan ends? They promise remission, but the results from Newcastle study showed that only 46% did that and then only briefly and many fell by the wayside. in the second year. You need to lose at least 15% of your body weight to make it work properly, and you have to keep that weight off consistently after.

The Ozempic alternative seems to have issues too, so research it properly before considering it. This forum is seeing several worrying reports about this family of weight loss injections.
 
Hi and welcome. First I would focus on Carbs not Calories as Carbs are our problem and Calories to be honest don't focus on food groups and are based on very loose science. If you are not already doing so, keep the carbs down in your diet to perhaps 150gm or less and have fats and proteins to keep you feeling full. If you have not already been offered Metformin then do ask the GP. It doesn't work miracles but helps a bit. I would avoid any of the weekly injectables such as Ozempic unless you have a lot of excess weight and the GP explains why that drug has been chosen over other diabetes tablets. Now, my comments may not apply to you if you have a specific eating condition and you need to put them in context with your own situation.
 
Hello,

sorry I didn’t explain it very well, so it’s 12 weeks of complete food replacement, and then over the year gradual food introduction, exercise, along with a diabetic consultant, councillor and fitness expert.

I already do low carb, and have taken Sukkarto SR for around 2 years now as I’m allergic to normal metformin.

my sugars are always the highest first thing in the morning, then throughout the day they average between 6.5&9/10.
 
I have had every diet plan under the sun, you name it I have tried it!
only being in ketosis suits me!
I'm not encouraging you to go keto but even though you are doing low carb, is it low enough?

I get exasperated at the meal replacement/shakes idea of calorie control.
the problem is the idea of having concentrated sugars of whatever description and there are the usual culprits in every one of them. It gives you an unnecessary spike that with diabetes you could really do with avoiding.
if it was just weight loss, but it isn't, diabetes management is about blood glucose levels control and over time reducing your blood glucose levels back into or around normal levels not to impact your future health.

Ozempic has had good results and bad press. It is usually prescribed for T2 diabetes who have not good control and if you don't get the side effects as you do with meetformin. I would certainly have that option. My wife is on ozempic, had good results and has had better hba1c and control.

If you could, can you give us an idea of what you generally eat in a day please?
 
I tried so many diet over the years, and even lost over 5st a couple of times only to end up fatter. Going low carb (in my case only down to 85g a day) has worked much better, and while I went a little too far relaxing my diet during lockdowns and put some of it back on it is now slowly disappearing again.
 
markpj31 said:
Err...
"Ozempic® may cause serious side effects, including: Possible thyroid tumors, including cancer"
Click to expand...
I have seen one posting in this forum where a confirmed diagnosis was given to a forum member on a glutide med within weeks of starting treatment.
 
Keto is the prescription strength version of low carb and to my mind seeems a more viable option than going very low cal and thereby dropping your metabolic rate with the afore mentioned issue of having to adapt to normal eating again. It has been admitted that the inevitable result is eating a reduced amount of calories or risking a return to type 2.
I know people who've done the 800kcal diet and it seems to have become an annual fixture, a bit like Lent, as they cycle back to weight gain because they hadn't sorted out the underlying issues.
However the diet is safe, whether via real food or via the shakes/soups etc,, as in nutritionally complete if it is NHS prescribed.
As for Ozempic, it isn't fixing the underlying issue but does work by getting your body to produce a littler amount of insulin in response to food. As others have said, I'd be wary of taking a drug to do this when there are possibly other ways to increase your sensitivity to your own insulin.
Remember it is important not to rush into keto or a new low cal diet or drug. You can take time to really think out how this will work for you in the longer term.
 

Crash diets rarely, if ever, lead to sustainable weight loss.
This is simply a re-named Newcastle diet which has a relatively poor rate for T2 remission.
Stay with the low carb and maybe cut down on carbs a bit more and see how you do.
How many carbs a day are you having?
If you have some sample meals we could maybe help tweak them?
 
If the choice were mine, I would plump for the diet. The shakes are in essence both Low Calorie and Low Carb at the same time. Do the 12 weeks and then make the decision on whethee to continue the NHS route, or follow a LCHF type of path instead. The NHS one will be low fat medium carb and progress to Eatwell the nutrition standard used by the NHS. Then you will put the weight back on again. Rinse and repeat. As a matter of interest., the latest incarnation of the original Newcastle diet is now a twin cycle in succession, so they accept it needs to be repeated.

The shakes will also be low fat, so you will not benefit from the saiety aspect of the healthy fats, and so it will be a struggle. The beauty of LCHF is that it adds the healthy fats and is IMHO more sustainable and enjoyable in the longer term. However, the low calorie shakes based diet is fairly successful as a short sharp shock crash diet that does help with T2D and its safe as a short term treatment. And you can stop it anytime.
 
Hello ( so besting in mind I am a mother of a 3 and 6 year old, they don’t sleep great and wake up from 5am so sleep isn’t a problem I can solve with regards to my sugar)

so breakfasts range from- full fat plain Greek yogurt, with either a tsp of peanut butter, chia seeds, flaxseeds, sometimes berries. Sometimes depending on time with the school run, I have eggs, bacon, mushrooms.


Lunches , salads with either cold meats or feta cheese ect. Chicken skewers, on the winter soups, if I’m having a salad for my tea then sometimes I use the low carb live life bread and make a sandwich. Veggies with houmous.

evening meals, depending on the carbs of the other meals I’ll adapt mine from the family’s and have a very very small portion of pasta or rice. Sometimes a whole meal pitta if they are having fajitas. If I do roasts I have mostly meat and veg and 1 small roast potato.

Then if I snack I buy 85% chocolate individual bars, or I have a babybel, sometimes a bad full of plain mixed nuts.

I only use real butter, I buy cream sometimes for coffee or as Treat over some frozen berries or sugar free jelly. I very rarely drink alcohol maybe once a month if that, and I drink vodka with a sugar free mixer, or a very very weak shandy.
 
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