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Being overweight or obese can increase the risk of developing certain health problems, and in some cases can complicate an existing medical condition. Total Diet Replacement Programmes aim to help individuals lose a significant amount of excess body weight, which may help to manage these health problems or reduce the risk of them developing in the first place.


Total Diet Replacement Programmes have been used for individuals with:


Type 2 Diabetes


Weight loss can help with Type 2 Diabetes management. People diagnosed with Type 2 Diabetes or Prediabetes that have been recommended a weight loss programme may choose to follow a total diet replacement programme to help them achieve the weight loss required.



What is Type 2 Diabetes?


Type 2 diabetes develops when the body becomes unable to produce enough insulin or becomes resistant to the insulin it does produce. Insulin is a hormone that helps your body use the glucose in your blood to give you energy. In type 2 diabetes, the shortage of insulin, or the body’s resistance to it, results in a build-up of glucose in the blood. If not managed properly, this can lead to a range of very serious health conditions affecting your heart, blood vessels, nerves, eyes and kidneys. 1–3


There are a number of factors that may increase your risk of developing type 2 diabetes, such as age, race, stress and pregnancy. But the single biggest risk factor is being overweight or obese. People with severe obesity are particularly at risk – in fact, almost 90% of people living with the condition are overweight or obese. 1–3


Type 2 diabetes can be managed with a healthy diet and increased physical activity, even if you are also taking oral medication and/or insulin. 1–3





Weight loss can help to improve joint pain and function and is a core treatment in the NICE guidelines for osteoarthritis 11. The guidelines state that adults with osteoarthritis who are overweight or obese should be offered support to help them to lose weight, which may include weight-loss programmes tailored to their individual needs.


Weight loss surgery


Also known as bariatric surgery, this is sometimes used to treat people who are very obese. Bariatric surgery can lead to significant weight loss which in turn could help improve some obesity-related conditions.


Sometimes patients will be put on a Total Diet Replacement before their surgery to help reduce the visceral fat (fat around their organs) and make the surgery safer. After the surgery, patients will be put on a soft food or liquid diet such as a Total Diet Replacement or Meal Replacement. They will then be gradually introduced back to normal foods.




Always check with a Health Care Professional before commencing Total Diet Replacement if you have any underlying health conditions.




1. Diabetes UK. Diabetes: The basics. Accessed March 2017. Available at: https://www.diabetes.org.uk/Diabetes-the-basics/

2. Public Health England. Adult obesity and type 2 diabetes. 2014. Accessed March 2017. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/338934/Adult_obesity_and_type_2_diabetes_.pdf.

3. NHS Choices. Type 2 diabetes. 2015. Accessed March 2017. Available at: https://www.nhs.uk/conditions/type-2-diabetes/.