16 week NHS programme to treat type 2 diabetes

January 11, 2018, University of Glasgow
16 week NHS programme to treat type 2 diabetes
Credit: University of Glasgow

An inexpensive, 16-week NHS lifestyle programme aimed at patients with type 2 diabetes can help to treat the disease.

A new study led by the University of Glasgow and published today in Diabetes Obesity and Metabolism, showed how effective the NHS Greater Glasgow and Clyde Glasgow and Clyde Weight Management Service lifestyle programme was at reducing the need for diabetic medication or insulin over a three year period.

Researchers found that who successfully completed the programme had no increase in their oral diabetes medication, and were half as likely to progress to insulin as those who didn't complete the programme and those who did not lose . As type 2 diabetes is a progressive condition, patients who were not referred, or did not successfully complete the programme, required increased amounts of oral diabetes medications over the subsequent 3 years.

The study also found that patients who successfully completed the programme went on to maintain that greater weight loss over a three year period, than either those who didn't complete the programme or those not referred to it.

In light of the findings researchers believe that this kind of lifestyle programme may be even more effective than some pharmacological alternatives in treating type 2 diabetes.

The study examined records from the NHS 16-week lifestyle programme, which included a regime of diet, exercise and behaviour change. The programme consists of nine fortnightly classes. Researchers defined 'success' as losing 5kg in that nine week timeframe. Patients could then choose to stay on for further weight loss and maintenance classes (1 per month) over the next year. Patients with Type 2 diabetes had to have a body mass index of 30 or above, in order to qualify to be referred to the programme.

To judge whether the programme was a success, researchers compared the successful group against those who attended and didn't lose weight, or those who didn't complete, or those who were never referred.

Dr. Jennifer Logue, lead author of the study from the University of Glasgow, said: "This is the first real-world study to show that the lifestyle weight management programmes that we deliver in the NHS can have a long lasting meaningful clinical effect on type 2 diabetes.

"This study shows that the common assumption that the weight lost is quickly regained is not true. Currently weight management programmes in the NHS are under-resourced and there is a lack of belief in their effectiveness by clinicians leading to low levels of referral, despite them being recommended by NICE.

"Our hope is that this study will convince patients, clinicians and NHS managers that these inexpensive programmes can make a clinically significant difference to patients with type 2 diabetes."

The researchers believe these kinds of programmes need to be better resourced so that more patients can achieve the defined 'success' weight loss of 5kg. Currently, only a minority of those who attended the programme achieved the 5kg . However researchers believe that this number would go up in line with investment to address the accessibility of programmes, so that people are able to attend regularly while continuing with work and caring commitments.

The study, 'The effect of non-surgical on weight and glycaemic control in people with type 2 : a comparison of interventional and non-interventional outcomes at three years' is published in Diabetes Obesity and Metabolism.

Explore further: GP referral to Weight Watchers avoided type 2 diabetes in third of patients

More information: Shani Botha et al. Effect of non-surgical weight management on weight and glycaemic control in people with type 2 diabetes: A comparison of interventional and non-interventional outcomes at 3 years, Diabetes, Obesity and Metabolism (2017). DOI: 10.1111/dom.13171

Related Stories

GP referral to Weight Watchers avoided type 2 diabetes in third of patients

October 16, 2017
More than a third of patients at risk of developing type 2 diabetes avoided developing the condition after they were referred by their family doctor (GP) to a diabetes prevention programme delivered by the commercial weight ...

Type 2 diabetes is not for life

December 5, 2017
Almost half of the patients with Type 2 diabetes supported by their GPs on a weight loss programme were able to reverse their diabetes in a year, a study has found.

Exercise alone does not lead to weight loss in women—in the medium term

November 23, 2017
Knowing whether or not exercise causes people to lose weight is tricky. When people take up exercise, they often restrict their diet – consciously or unconsciously – and this can mask the effects of the exercise. In our ...

Extending weight loss programme helps overweight people keep more weight off and is cost-effective

May 4, 2017
Extending NHS weight loss programmes from one session per week for 12-weeks to one session per week for a year helped people who are overweight to lose more weight and keep it off for longer, according to a study published ...

Losing weight is hard, but not any harder if you have type 2 diabetes

December 8, 2017
A study has found weight loss could reverse type 2 diabetes. The UK clinical trial showed that 46% of people who followed a low-calorie diet, among other measures, for 12 months were able to stop their type 2 diabetes medications.

FDA approves ozempic for type 2 diabetes

December 6, 2017
(HealthDay)—A new once-weekly diabetes medication that lowers blood glucose and also helps patients lose weight has been approved by the U.S. Food and Drug Administration.

Recommended for you

Genetic discovery may help better identify children at risk for type 1 diabetes

January 17, 2018
Six novel chromosomal regions identified by scientists leading a large, prospective study of children at risk for type 1 diabetes will enable the discovery of more genes that cause the disease and more targets for treating ...

Thirty-year study shows women who breastfeed for six months or more reduce their diabetes risk

January 16, 2018
In a long-term national study, breastfeeding for six months or longer cuts the risk of developing type 2 diabetes nearly in half for women throughout their childbearing years, according to new Kaiser Permanente research published ...

Women who have gestational diabetes in pregnancy are at higher risk of future health issues

January 16, 2018
Women who have gestational diabetes mellitus (GDM) during pregnancy have a higher than usual risk of developing type 2 diabetes, hypertension, and ischemic heart disease in the future, according to new research led by the ...

Diabetes gene found that causes low and high blood sugar levels in the same family

January 15, 2018
A study of families with rare blood sugar conditions has revealed a new gene thought to be critical in the regulation of insulin, the key hormone in diabetes.

Discovery could lead to new therapies for diabetics

January 12, 2018
New research by MDI Biological Laboratory scientist Sandra Rieger, Ph.D., and her team has demonstrated that an enzyme she had previously identified as playing a role in peripheral neuropathy induced by cancer chemotherapy ...

Enzyme shown to regulate inflammation and metabolism in fat tissue

January 11, 2018
The human body has two primary kinds of fat—white fat, which stores excess calories and is associated with obesity, and brown fat, which burns calories in order to produce heat and has garnered interest as a potential means ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.