Pragmatic_management_of_low_energy_diets_in_people_with_Type_2_diabetes_in_clinical_practice clean v.pdf (722.49 kB)
Pragmatic management of low energy diets in people with Type 2 diabetes in primary care: a decision aid for clinicians
journal contribution
posted on 2020-03-30, 09:29 authored by Emma L. Baldry, Melanie J. Davies, Kamlesh Khunti, David R. WebbSignificant 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 CentreVersion
- AM (Accepted Manuscript)