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Pragmatic management of low energy diets in people with Type 2 diabetes in primary care: a decision aid for clinicians

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journal contribution
posted on 2020-03-30, 09:29 authored by Emma L. Baldry, Melanie J. Davies, Kamlesh Khunti, David R. Webb
Significant weight loss at a level to achieve remission in the short‐term has been achieved through total dietary replacement or a low‐energy diets 1-3. These diets aim for an energy restriction to between 800 and 1600 kcal/day, and could achieve 15% weight loss in 8–12 weeks 4. This is distinct from a very‐low‐energy diet of < 800 kcal/day 5. As observed by Astbury et al. 2, combinations of food, meals and meal replacement products are all effective at achieving a significant level of weight loss in this time. Analysis of the pragmatic intervention utilized in the Diabetes Remission Clinical Trial (DiRECT) indicates that it is a safe and cost‐effective strategy, and appears to result in sustained weight loss in some cases 6.

History

Citation

Diabet. Med. 00, 1–5 (2020)

Author affiliation

Leicester Diabetes Centre

Version

  • AM (Accepted Manuscript)

Published in

Diabetic Medicine

Publisher

Wiley

issn

0742-3071

Acceptance date

2020-02-03

Copyright date

2020

Available date

2020-02-05

Publisher version

https://onlinelibrary.wiley.com/doi/abs/10.1111/dme.14265

Language

en

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