NHS Low Calorie Diet - Type 2 Remission Programme - Oviva (aka Newcastle)

Kreator

Kreator

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Hi All,

25/08/2021 - Link: https://www.england.nhs.uk/diabetes/treatment-care/low-calorie-diets/ - Includes links at the bottom to DiRECT Year 1, DiRECT Year 2 & DROPLET Trials 😉

25/08/2021 - Link: https://oviva.com/uk/en/programme/diabetes-remission/#join - This explains the programme specific to Oviva

Hope everyone is safe & well!

Copied from my post from the newbie section, and thought it would be better to re-post into the weight loss section...

Just joined the forum after being diagnosed with type 2 in 2018...found this forum and have been hooked ever since! - some really interesting views and advise, and great to read so many people's positive comments...

This disease is so complicated! - The last 3 years have been a rollercoaster, and I'm sure there's more to come...

Initial Type 2 Diagnosis HbA1c 88 in 2018, immediately bought a blood glucose monitor to see what foods would set me off, 3 months later 52, then hovering between 45 (once) to 47-48 every blood test...Metformin max dose all the way through - 2000mg

So finally took the plunge further to get onto the NHS Low Calorie Diet Diabetes Remission Programme provided by Oviva...which I pushed my DN for...

First HbA1c since being on the shakes - 42 without Metformin...Fasting Blood Glucose mainly around 4.2 daily - some slighlty slower, some slightly higher, but good all round...

Initial start weight 77.5Kg - 5ft 4" - The NHS program is provided by Oviva - I was told target weight was 62.5Kg - what?!! - there'll be nothing left of me I said! - In hindsight - there's still plenty of me left...!

10 weeks in and managed to lose 11Kg (Weight now at 66.5Kg), 2 weeks to go on full TDR, and feeling ok about things generally - It's not easy though...!

Bought Roy Taylor's book 'Life Without Diabetes' - such an interesting read

Hardest part to come I think - food re-introduction and food maintenance...lets see...

One thing for sure though, this forum has helped me immensely, thank you!
 
Last edited:
Sounds excellent.
Congratulations.
I reversed mine the same way.
I found the diet broke all my old bad habits.
I wanted the ability to eat any type of food, which I now have, and opted for a Mediterranean style diet, fairly low fat to keep the calories down, minimal saturated fats for cholesterol control, seems to work well for me.
 
travellor said:
Sounds excellent.
Congratulations.
I reversed mine the same way.
I found the diet broke all my old bad habits.
I wanted the ability to eat any type of food, which I now have, and opted for a Mediterranean style diet, fairly low fat to keep the calories down, minimal saturated fats for cholesterol control, seems to work well for me.
Click to expand...
Indeed, since being diagnosed myself I've analysed myself in ways I'd never imagined in terms of relationship with food, and gradually found a happy medium, but could never quite go that extra mile until starting the shakes - the break from food has given me the opportunity to really start that relationship all over again, which I think at the moment I can see the wood through the trees - only time will tell, but for sure, Mediterranean seems to be the way for me also...

I had been on Statins up until a couple of weeks ago until I asked my GP if I could stop based on lifestyle changes - so no meds currently and more to the point no symptoms either...

I feel for me It's a life journey not a race, and whatever works for the individual is the key
 
Kreator said:
Hi All,
This disease is so complicated! - The last 3 years have been a rollercoaster, and I'm sure there's more to come...

Initial Type 2 Diagnosis HbA1c 88 in 2018, immediately bought a blood glucose monitor to see what foods would set me off, 3 months later 52, then hovering between 45 (once) to 47-48 every blood test...Metformin max dose all the way through - 2000mg

One thing for sure though, this forum has helped me immensely, thank you!
Click to expand...
Actually ordinary type two diabetes is incredibly simple - we can't cope with the amount of carbohydrate we are advised to eat.
 
Drummer said:
Actually ordinary type two diabetes is incredibly simple - we can't cope with the amount of carbohydrate we are advised to eat.
Click to expand...
Yep, once you go over your own personal fat threshold I couldn't agree more...

For me, it's so far been a journey of 3 years since being diagnosed, learning more each and every day. There is for sure still more learning to come!

Looking forward to the next step of the jouney, I'll update as and when I can😉
 
Kreator said:
Yep, once you go over your own personal fat threshold I couldn't agree more...

For me, it's so far been a journey of 3 years since being diagnosed, learning more each and every day. There is for sure still more learning to come!

Looking forward to the next step of the jouney, I'll update as and when I can😉
Click to expand...
You sound like you had a reasonable weight in the first place. I lost around five stone to get on top of mine!
 
travellor said:
You sound like you had a reasonable weight in the first place. I lost around five stone to get on top of mine!
Click to expand...
Well, yea that's the thing, I'd considered myself overweight for years, gained some, lost some, gained it again, went up to 15st at one point, generally getting it down to 12 and a half stone as a standing weight, then T2 diagnosis at around 13st...

As I'm only 5ft 4" in height, that's quite visible for a shortie!

5st lost is a great achievement you should be proud of!

For me, 2st lost feels great, and as we're all in the same boat in terms of T2, any weight lost overall for anyone is an achievement, we should all be proud of 😉
 
Don't get me wrong, you had a great weight loss, I was thinking more I was very seriously overweight, and morbidly obese, so a prime candidate for the low calorie diet.
There has been a lot of speculation on here recently about whether it could help those who weren't in the same state, it's good to hear it worked for you.
(I think we had about the same target though!)
 
Interesting viewpoint, however the DiRECT trial was for people with a bmi 27-45, the pilot I'm on is for people with a bmi over 27 - mine was around 30 (bordering on obese) - Michael Mosely didn't consider himself to be overweight but he still had T2...

The ReTUNE study is for people with a bmi of less than 27, so results of this study will be interesting...

In terms of T2, I was in the same state, just a different weight that's all...
 
Kreator said:
Interesting viewpoint, however the DiRECT trial was for people with a bmi 27-45, the pilot I'm on is for people with a bmi over 27 - mine was around 30 (bordering on obese) - Michael Mosely didn't consider himself to be overweight but he still had T2...

The ReTUNE study is for people with a bmi of less than 27, so results of this study will be interesting...

In terms of T2, I was in the same state, just a different weight that's all...
Click to expand...
I wonder when ReTUNE will report? Last I heard (ages ago) it was understandably delayed due to the plague.

I had a BMI of 25 point something at DX & put my T2 into remission by losing ~10kg.
 
Eddy Edson said:
I wonder when ReTUNE will report? Last I heard (ages ago) it was understandably delayed due to the plague.

I had a BMI of 25 point something at DX & got rid of my T2 by losing ~10kg.
Click to expand...
If I'm honest, I'm not sure, I just knew it existed - I'm sure I saw somewhere that they are actively looking for suitable candidates at the moment though?

Good for you, feels good to shed the weight huh?!

Week 12 for me - final week of shakes (Optifast for me) - this morning managed somehow to lose another 1.1Kg, so weight now at 65.4Kg - total weight loss in 11 weeks of 12.1Kg - one week to go!

if there's one thing I can say though is that after 3 years of putting my foot in the water and gently controlling my HbA1c, it feels so much better to just go for it!

I'll let you know final weight at the end of week 12, then to see if I can mantain it!
 
I should point out though, I'm not yet officially in Remission, but well on the way hopefully....
 
Kreator said:
Hi All,

Hope everyone is safe & well!

Copied from my post from the newbie section, and thought it would be better to re-post into the weight loss section...

Just joined the forum after being diagnosed with type 2 in 2018...found this forum and have been hooked ever since! - some really interesting views and advise, and great to read so many people's positive comments...

This disease is so complicated! - The last 3 years have been a rollercoaster, and I'm sure there's more to come...

Initial Type 2 Diagnosis HbA1c 88 in 2018, immediately bought a blood glucose monitor to see what foods would set me off, 3 months later 52, then hovering between 45 (once) to 47-48 every blood test...Metformin max dose all the way through - 2000mg

So finally took the plunge further to get onto the NHS Low Calorie Diet Diabetes Remission Programme provided by Oviva...which I pushed my DN for...

First HbA1c since being on the shakes - 42 without Metformin...Fasting Blood Glucose mainly around 4.2 daily - some slighlty slower, some slightly higher, but good all round...

Initial start weight 77.5Kg - 5ft 4" - The NHS program is provided by Oviva - I was told target weight was 62.5Kg - what?!! - there'll be nothing left of me I said! - In hindsight - there's still plenty of me left...!

10 weeks in and managed to lose 11Kg (Weight now at 66.5Kg), 2 weeks to go on full TDR, and feeling ok about things generally - It's not easy though...!

Bought Roy Taylor's book 'Life Without Diabetes' - such an interesting read

Hardest part to come I think - food re-introduction and food maintenance...lets see...

One thing for sure though, this forum has helped me immensely, thank you!
Click to expand...
Hi Kreator, those results sound great. I'm just about to read the rest of the thread, very interested 🙂
 
Weekender said:
Hi Kreator, those results sound great. I'm just about to read the rest of the thread, very interested 🙂
Click to expand...
Hi Weekender, believe it or not, your thread alone has given me huge inspiration and confidence to keep going myself! - I aplaud your attention to detail, and thank you!

In terms of finger prick fasting blood glucose levels (I don't test any other time for now) - mine have been consistent over 10 weeks - 4.1 / 4.2 (The first week was adjusting down to this level) - I guess it's kind of expected as well...I'm on a Low Calorie diet! - I can only wait and see once I start eating real food again what they average out at day to day...Next HbA1c test is due in September, so hoping to see that down in the mid - high 30's, but only time will tell I guess! (At that point, I will know if I'm fully in Remission)
 
Kreator said:
Hi Weekender, believe it or not, your thread alone has given me huge inspiration and confidence to keep going myself! - I aplaud your attention to detail, and thank you!

In terms of finger prick fasting blood glucose levels (I don't test any other time for now) - mine have been consistent over 10 weeks - 4.1 / 4.2 (The first week was adjusting down to this level) - I guess it's kind of expected as well...I'm on a Low Calorie diet! - I can only wait and see once I start eating real food again what they average out at day to day...Next HbA1c test is due in September, so hoping to see that down in the mid - high 30's, but only time will tell I guess! (At that point, I will know if I'm fully in Remission)
Click to expand...
Well I'm chuffed, thanks for the feedback. My fasting blood sugars are all over the place, a consistent 4.1 / 4.2 would be really encouraging. I'm very keen to get my HbA1c results - hopefully Friday.
It may be that my fasting blood sugars are all over the place because I'm not as vigilant about carbs as someone like @Drummer would recommend.
Keep going - September is just several weeks way so hopefully it's a motivator to stay strong
 
Weekender said:
Well I'm chuffed, thanks for the feedback. My fasting blood sugars are all over the place, a consistent 4.1 / 4.2 would be really encouraging. I'm very keen to get my HbA1c results - hopefully Friday.
It may be that my fasting blood sugars are all over the place because I'm not as vigilant about carbs as someone like @Drummer would recommend.
Keep going - September is just several weeks way so hopefully it's a motivator to stay strong
Click to expand...
I took my inspiration from @ColinUK btw - so it's good to keep passing the torch along
 
Weekender said:
I took my inspiration from @ColinUK btw - so it's good to keep passing the torch along
Click to expand...
Yep, I read @ColinUK's post also with avid interest! Keep up the great work both of you!

For me, well 12 weeks done...Another 0.8Kg lost - so total weight sits at 64.6Kg - Total 12.9Kg lost in 12 weeks! - Blood Glucose levels remain constant at 4.0 this morning!

So now for real food - Week 1 is 2 shakes, then one evening meal @400 Cals - A Michael Mosely Chicken Tikka for me tonight!

Week 2 will be 1 shake, normal breakfast 400 Cals, and 400 Cals evening meal

Week 3/4 will be fully food based working my way up in Calories to 1500 Cals per day

After this will be fully food based - watching my weight then hopefully full rubber stamped remission!

Believe I'm expected to regain some weight as I start food, but only time will tell...I'm optimistic yet aprehentious about the next phase, but happy to see what's in store...

Can't wait to start eating food again though! - Obviously not as much, but lets see...

I'll update as it goes...
 
So, week 1 on the start of real food...

So many tastes, so many new things to er...digest lol!

So another weight loss - only 0.3Kg this week, but I'll definately take that as I was really full after eating a 400 Calorie meal every night! - Some nights it was more like a 600-700 Cal meal, so 1200 max Cals per day..

Fasting Blood Sugar levels again low 4's - even a 3.8! - not worried about this though as it shows things are coming back to normal - no meds remember....

Although I didn't lose much weight - ...and this isn't now the aim... - I felt much better in myself - not gaunt looking and rosier cheeks - I also felt like I could run a marathon - I didn't! - but I did 10,000 steps each both Saturday & Sunday (Some of it rigorous) and couldn't be happier to be honest!

One thing I did find though was - and not sure why I didn't realise before! - is that my blood glucose levels dropped to normal low 4 levels after dinner with rigorous exercise - lol makes sense - that's what you burn off...Glucose!...

Really good to be eating again, and not gain weight (for now!) - this week - only one shake per day - 300Cal Breakfast & an evening meal - lets see what this week brings...

Expecting my weight to stabilise - little incriments of weight gain / weight loss, but lets see....

I'll update again next week 😉
 
Week 14 - And another week done - 1.1Kg lost this week! - I feel like a kid again, so much energy to burn off, walking more and more each day, cycling - it's ridiculous!

Weight loss as at week 14 - 63.2Kg

Starting Weight - 77.5Kg
Week 14 Weight - 53.2Kg
Total Weight Loss = 14.3Kg

I feel so much more full of energy now - I'm now on full food intake - roughly 1200 - 1500 Cals a day for now

All done! - Now just to maintain it which at the moment feels totally within my own mind, body & tummy!
 
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