In a recent study published in The Lancet Diabetes & Endocrinology , researchers assessed insulin-independent diabetes remission by total dietary replacement (TDR) in England. Background The growing diabetes incidence rates prompted the National Health Service (NHS) of England to launch the Type 2 Diabetes Path to Remission (T2DR) initiative. The approach follows a micronutrient-rich but low-energy diet and has demonstrated considerable weight loss and long-term diabetic remission.
However, the efficacy of these therapies in real-world contexts is unknown. The T2DR program seeks to help people lose weight, maintain it, and reduce their need for glucose-lowering medications. The regimen included 20 sessions: eight for the TDR phase, four for food reintroduction, and eight for weight maintenance.
The TDR phase lasted 12 weeks and centered on calorie intake and coaching. The food reintroduction phase lasted 4-6 weeks and focused on eating well and creating objectives. The third step, weight maintenance, helps individuals achieve their goals by providing monthly coaching sessions focusing on behavior modification and promoting physical activity.
About the study The present study used prospective and national-level data to investigate whether the English NHS T2DR program was effective in diabetes type 2 remission. The researchers analyzed data from English individuals aged between 18 and 65 years who received diabetes type 2 diagnosis in the previous six years and referrals for th.