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Diabetes - Dietary and Lifestyle Recommendations
Diabetes - Dietary Recommendations

Weight Reduction

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Weight Loss in Type 2 Diabetes

See - Diabetes and Obesity

Weight loss in over weight/obese BMI categories improves glycaemic control.

Achieving long-term weight loss is notoriously difficult and there is no blueprint strategy.

Standard weight reduction diets used in isolation are often unsuccessful but structured lifestyle programmes which include education, energy restriction, regular physical activity and frequent participant contact can produce long-term weight loss.

5-10% of weight loss from initial weight has been shown to be significant in reducing obesity related complications.

A loss of 1-2 kg per month by means of a sustained energy deficit of approximately 500 kcal/day should be regarded as satisfactory.

Avoidance of further weight gain may be considered a success in some patients especially for the elderly, over 60.

Dietary/lifestyle assessment will reveal the changes in dietary habits, food choices, portion controls and/or lifestyle such as physical activity which are more likely to achieve a calorie deficit in the energy balance.

OHA’s or insulin regime might need to be adjusted if calorie deficit and weight loss are achieved to avoid risk of hypoglycaemia and hypo treatment, which contains unnecessary calories.

The skill of the dietitian is in determining the most appropriate strategy for the individual patient. Refer to dietitian, for individualised advice and support.

Motivation level and readiness to changes need to be assessed. Realistic expectations and targets need to be explored to achieve meaningful results. Strategies such as cognitive behaviour therapy, behavioural changes or counselling/psychology might be considered.

Ongoing support and encouragement will help to maintain motivation level. Individual support system, dietitian or friend, nurse/doctor, commercially run group or lifestyle group such as ESTA need to be considered.

See - ESTA Leaflet

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Dietetic Referral Forms

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Dietary Leaflets - Losing weight getting started and Positive approach to weight management

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Weight Loss in Type 1 Diabetes
See - Diabetes and Obesity

Dietary/lifestyle assessment will reveal the changes in dietary habits, food choices, portion controls and/or lifestyle such as physical activity which are more likely to achieve a calorie deficit in the energy balance.

The skill of the dietitian is in determining the most appropriate strategy for the individual patient. Refer to dietitian, for individualised advice and support.

When advising exercise or energy intake reduction, insulin treatment should be taking into consideration and might need to be adjusted in liaison with nurse/doctor or the diabetes team.

Insulin regime might need to be adjusted if calorie deficit, increase in physical activity and weight loss is achieved to avoid risk of hypoglycaemia and hypo treatment, which contains unnecessary calories.

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Useful External Links & Resources

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BDA Weight Wise

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Dietetic Referral Forms (N Beds)

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Dietetic Referral Forms (S Beds)

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Dietetic Referral Forms (Luton)

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Losing Weight Getting Started - Information Sheet

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Losing weight getting started and Positive approach to weight management - Information Sheet

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ESTA Leaflet

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