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

If you look up William Banting and his Letter on Corpulence, you will see how long doctors have been ridiculing low carb eating and those advocating it.
I used to work for Allied Lyons and the way they work out the recipes of products has nothing to do with feeding a healthy diet to people, all to do with minimal waste and maximum profits.
 
I've attached an article : Low-carbohydrate ketogenic diets in body weight control: A recurrent plaguing issue of fad diets?

I really enjoyed Dr Giles Yeo's RI lecture on calories.

How We Got the Science of Weight Loss Wrong - with Giles Yeo

I'm cutting down on foods with high calorific availability (carbs).

The 'high fat' part of Atkins is not convincing
 

Attachments

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Week 15 (Week 3 of food) - well...my weight is now 62.4Kg! - total weight lost = 15.1Kg over 15 weeks!

I also managed over 10,000 steps a day for the week - something I thought was impossible a few weeks ago! - something I didn't realise but there is a term 'exercise snacking' - this is exactly what I've been doing - I talk on the mobile a lot, so instead of just sitting there, I walk - so 10,000 steps a day is easily achievable throughout the day - no need to do it all in one go!

I've probably had around 1200 Cals a day this week - and still losing weight, so this week will be building that up to be able to maintain it - I aim to maintain to between 62Kg - 64Kg long term, and feel this should be pretty straighforward to achieve long term...

Fasting Blood Glucose levels again consistent - this morning 3.9 - it's normally around this figure now - I've also tested 2 hours after food - never above 6, so looks promising!

For me then;

15 Weeks lost 15.1 Kg (Average 1Kg per week) - starting weight = 77.5Kg

12 weeks shakes - 800 Cals Per Day
3 weeks food - building from 800 to 1000-1200 Cals Per Day + building activity up to over 10,000 steps a day

This week will be about maintaining my weight loss - building up to 1500 Cals per day - I won't push it for now but I'm looking to see what my daily calorie intake will be to be able to sustain long term - I feel as it is my intake has been generally sufficient to keep me satisfied, so I'm sure it won't take much 😉

As Roy Taylor says, You won't need as many calories as there's not as much of you to move around!

FYI - in terms of carbs - I'm not 'afraid' of them any more, I'm just 'more aware' and balance is the key, so while being T2D is a signal to cut down carbs as they can cause spikes, being in control means you can eat carbs - and you should - they're important for a balanced diet - but just be aware in diabetic ranges you are feeding your blood sugar as your body can't control it....

I'm now around the same weight as I was in my early twenties, feel fit as a fiddle, and not looking to change that any time soon 😉
 
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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!
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Good luck on your own journey. you've did brilliantly. I forgot to say. I have sleep apnoea and my hospital runs a weight loss clinic for diabetes. I contacted them about diabetes and was told they only send diabetics to WWs but I sent a ps email saying I had sleep apnoea. Apparently I should have been referred years ago for weight management help. I’ve been accepted on to the wait list and they will contact me when it’s time. Everything helps.
 
Kreator said:
Week 15 (Week 3 of food) - well...my weight is now 62.4Kg! - total weight lost = 15.1Kg over 15 weeks!

I also managed over 10,000 steps a day for the week - something I thought was impossible a few weeks ago! - something I didn't realise but there is a term 'exercise snacking' - this is exactly what I've been doing - I talk on the mobile a lot, so instead of just sitting there, I walk - so 10,000 steps a day is easily achievable throughout the day - no need to do it all in one go!

I've probably had around 1200 Cals a day this week - and still losing weight, so this week will be building that up to be able to maintain it - I aim to maintain to between 62Kg - 64Kg long term, and feel this should be pretty straighforward to achieve long term...

Fasting Blood Glucose levels again consistent - this morning 3.9 - it's normally around this figure now - I've also tested 2 hours after food - never above 6, so looks promising!

For me then;

15 Weeks lost 15.1 Kg (Average 1Kg per week) - starting weight = 77.5Kg

12 weeks shakes - 800 Cals Per Day
3 weeks food - building from 800 to 1000-1200 Cals Per Day + building activity up to over 10,000 steps a day

This week will be about maintaining my weight loss - building up to 1500 Cals per day - I won't push it for now but I'm looking to see what my daily calorie intake will be to be able to sustain long term - I feel as it is my intake has been generally sufficient to keep me satisfied, so I'm sure it won't take much 😉

As Roy Taylor says, You won't need as many calories as there's not as much of you to move around!

FYI - in terms of carbs - I'm not 'afraid' of them any more, I'm just 'more aware' and balance is the key, so while being T2D is a signal to cut down carbs as they can cause spikes, being in control means you can eat carbs - and you should - they're important for a balanced diet - but just be aware in diabetic ranges you are feeding your blood sugar as your body can't control it....

I'm now around the same weight as I was in my early twenties, feel fit as a fiddle, and not looking to change that any time soon 😉
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Brilliant!
 
nechama rotenberg said:
It was on my Hospital main page and I contactad them. I live in Glasgow . Ive been accepted for sleep apnoea for specialist help. They told me for diabetes they would send me to Weight Watchers. I think they pay. I’m on a wait list for specialist help. Counselling and classes plus if I was fit which I doubt very much there’s gastric band surgery. I prefer the way I’m doing it with diet. I emailed and they said to get my doctor to confirm I’ve sleep apnoea. Good luck
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nechama rotenberg said:
I live in London and would love to know how you got referred to this NHS diet programme by Oviva. Do to drink shakes on it instead of food? Nechama
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Kreator said:
Week 15 (Week 3 of food) - well...my weight is now 62.4Kg! - total weight lost = 15.1Kg over 15 weeks!

I also managed over 10,000 steps a day for the week - something I thought was impossible a few weeks ago! - something I didn't realise but there is a term 'exercise snacking' - this is exactly what I've been doing - I talk on the mobile a lot, so instead of just sitting there, I walk - so 10,000 steps a day is easily achievable throughout the day - no need to do it all in one go!

I've probably had around 1200 Cals a day this week - and still losing weight, so this week will be building that up to be able to maintain it - I aim to maintain to between 62Kg - 64Kg long term, and feel this should be pretty straighforward to achieve long term...

Fasting Blood Glucose levels again consistent - this morning 3.9 - it's normally around this figure now - I've also tested 2 hours after food - never above 6, so looks promising!

For me then;

15 Weeks lost 15.1 Kg (Average 1Kg per week) - starting weight = 77.5Kg

12 weeks shakes - 800 Cals Per Day
3 weeks food - building from 800 to 1000-1200 Cals Per Day + building activity up to over 10,000 steps a day

This week will be about maintaining my weight loss - building up to 1500 Cals per day - I won't push it for now but I'm looking to see what my daily calorie intake will be to be able to sustain long term - I feel as it is my intake has been generally sufficient to keep me satisfied, so I'm sure it won't take much 😉

As Roy Taylor says, You won't need as many calories as there's not as much of you to move around!

FYI - in terms of carbs - I'm not 'afraid' of them any more, I'm just 'more aware' and balance is the key, so while being T2D is a signal to cut down carbs as they can cause spikes, being in control means you can eat carbs - and you should - they're important for a balanced diet - but just be aware in diabetic ranges you are feeding your blood sugar as your body can't control it....

I'm now around the same weight as I was in my early twenties, feel fit as a fiddle, and not looking to change that any time soon 😉
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That's fantastic @Kreator - feeling as fit as a fiddle is the best metric 🙂
 
jeanettem1 said:
Good luck on your own journey. you've did brilliantly. I forgot to say. I have sleep apnoea and my hospital runs a weight loss clinic for diabetes. I contacted them about diabetes and was told they only send diabetics to WWs but I sent a ps email saying I had sleep apnoea. Apparently I should have been referred years ago for weight management help. I’ve been accepted on to the wait list and they will contact me when it’s time. Everything helps.
Click to expand...
I too had sleep apnoea - never officially diagnosed, but my wife knew I had it! - I also snored a lot too - niether of which I knew much about as I was sleeping! - although I'd wake up gasping for breath every now & again due to the sleep apnoea - not a whisper of either though since I lost weight! - good luck on WW's - like you say, everything helps 😉
 
Kreator said:
I too had sleep apnoea - never officially diagnosed, but my wife knew I had it! - I also snored a lot too - niether of which I knew much about as I was sleeping! - although I'd wake up gasping for breath every now & again due to the sleep apnoea - not a whisper of either though since I lost weight! - good luck on WW's - like you say, everything helps 😉
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Good your sleep quality is better.I was 9st 8 and still had sleep apnoea. Glad you’re over it. I use amachine.
 
nonethewiser said:
Well done Kreator, wife did similar, told borderline type 2 then went on to lose 5st doing Slimming World diet, later bloods results came back she was no longer prediabetic. Shows what can be done with will & determination.
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I’m doing the SW and Type 2 also and it’s great to know it’s worked for your wife. Since June 5 th I’ve lost 17.5 lbs sounds mahoosive in kgs 7.93 I’m gradually lowering my carbs as in potatoes and other starchy foods. I’ve mostly cut out visible sugar except for a few hiccups. I have fatty liver disease and think it’s now caused the pancreas to not function with fat. From what I’ve read the fat comes away from the liver and pancreas and the pancreas starts making insulin again. It’s quite a complicated process but Michael Mosley explains it well. Anyway you’ve given me encouragement that, for me, I’m on the right track. I know someone who doesn’t bother much about what they eat, Type2 on medication and their legs are all inflamed, swollen and sores. It’s frightening me into doing something about it and have known even type 1 who didn’t take care of their diabetes.
 
jeanettem1 said:
I’m doing the SW and Type 2 also and it’s great to know it’s worked for your wife. Since June 5 th I’ve lost 17.5 lbs sounds mahoosive in kgs 7.93 I’m gradually lowering my carbs as in potatoes and other starchy foods. I’ve mostly cut out visible sugar except for a few hiccups. I have fatty liver disease and think it’s now caused the pancreas to not function with fat. From what I’ve read the fat comes away from the liver and pancreas and the pancreas starts making insulin again. It’s quite a complicated process but Michael Mosley explains it well. Anyway you’ve given me encouragement that, for me, I’m on the right track. I know someone who doesn’t bother much about what they eat, Type2 on medication and their legs are all inflamed, swollen and sores. It’s frightening me into doing something about it and have known even type 1 who didn’t take care of their diabetes.
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Hi @jeanettem1 well done with the weight loss, you are definitely on the right track and will see the benefits 🙂 hopefully your friends will be inspired to follow your example
 
Help needed . I‘ve just got the gluconav meter. I put the test strip in and it’s working but when I put a strip in wth my blood in it it’s just pulsing and not giving me a reading. What end of the strip goes in? I can only get the long end of the strip in. If I put it any other way it says error. THREE meters and I can’t get a reading. What am I doing wron?
 
jeanettem1 said:
Help needed . I‘ve just got the gluconav meter. I put the test strip in and it’s working but when I put a strip in wth my blood in it it’s just pulsing and not giving me a reading. What end of the strip goes in? I can only get the long end of the strip in. If I put it any other way it says error. THREE meters and I can’t get a reading. What am I doing wron?
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Are you putting the blood on the strip before putting it into the machine?
Check your manual, but the normal process is to insert the strip and let the device start up and then prompt you to suck up the blood.
 
Drummer said:
Are you putting the blood on the strip before putting it into the machine?
Check your manual, but the normal process is to insert the strip and let the device start up and then prompt you to suck up the blood.
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Thanks drummer. No I was doing it wrong. I was putting the blood on the strip. I found another info sheet that was better to follow. I got my first reading of 6.1 and had a cup of options just before. Quite chuffed. I’ve run out of fingers and a lot of strips. Thanks again. I will get used to it.I can set it and download from it. Just not today lol
 
jeanettem1 said:
Thanks drummer. No I was doing it wrong. I was putting the blood on the strip. I found another info sheet that was better to follow. I got my first reading of 6.1 and had a cup of options just before. Quite chuffed. I’ve run out of fingers and a lot of strips. Thanks again. I will get used to it.I can set it and download from it. Just not today lol
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@jeanettem1 yep to begin with it can take a while to get used to! - Just as an FYI, wash your hands in warm water before you do the prick - 2 reasons - 1. If you've just eaten a sugary donut it will affect the reading! - 2. Warmer hands = better blood flow so it's easier to draw the blood onto the strip 😉

Also, don't worry so much about individual one off readings, it's an overall picture you're trying to build - some readings can be 'off' so don't worry too much about one spurious reading

😉
 
It’s like gettng blood out of a stone with me. I’ve to wear plastic gloves before surgery for anaesthetist
 
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Week 16 - Weight gained! - 0.1Kg!!! - So as good as maintained... - I had a week off work, eat out a couple of days, and have been mindful of what I've eaten - so after eating out with sensible ish choices, I've then clawed it back - so overall really pleased I've stopped losing weight and that the plan so far works 😉

Fasting Blood Glucose levels remain contstant - 3.9, 4.0, 4.1 etc. so it's working! - I also averaged 12,000 steps per day last week and it's getting easier to achieve, again being mindful about not sitting still - I can confirm that average walking doesn't help lose weight, but more rigorous out of breath walking/jogging does - however, just the steps alone keeps me feeling great!

I'll update in a couple of weeks when HbA1C results are in😉
 
Kreator said:
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!
Click to expand...
I’m too old for this programme and don’t live in the region. I have been accepted for a class based programme where I live but depends on Covid getting hospitals moving again.it’s very unlikely soon. Still plodding along in my own lost 20.5 lbs
 
Kreator said:
Week 16 - Weight gained! - 0.1Kg!!! - So as good as maintained... - I had a week off work, eat out a couple of days, and have been mindful of what I've eaten - so after eating out with sensible ish choices, I've then clawed it back - so overall really pleased I've stopped losing weight and that the plan so far works 😉

Fasting Blood Glucose levels remain contstant - 3.9, 4.0, 4.1 etc. so it's working! - I also averaged 12,000 steps per day last week and it's getting easier to achieve, again being mindful about not sitting still - I can confirm that average walking doesn't help lose weight, but more rigorous out of breath walking/jogging does - however, just the steps alone keeps me feeling great!

I'll update in a couple of weeks when HbA1C results are in😉
Click to expand...
Well done
 
jeanettem1 said:
I’m too old for this programme and don’t live in the region. I have been accepted for a class based programme where I live but depends on Covid getting hospitals moving again.it’s very unlikely soon. Still plodding along in my own lost 20.5 lbs
Click to expand...

Well done @jeanettem1 - that’s a terrific achievement!
 
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