Milestones - DM2

Welcome to Milestones DM2™ – a personalised weight-management programme for people with Type 2 diabetes – recommended by your healthcare professional to help you reach your goals.

Along with many others committed to taking control of their weight and therefore diabetes management, you are about to begin a journey with your healthcare professional to help you lose weight and improve your health.


What is Milestones DM2?

Milestones DM2 is a personalised weight-management programme for people with Type 2 diabetes using OPTIFAST®, a total diet replacement product that provides adequate amounts of all essential nutrients for the day. In addition, the programme offers patients advice and support from a dedicated dietitian.

The programme, built around total diet replacement for 8–12 weeks, is designed to help you lose weight, which is known to help with your diabetes management.

So how does it work? Split into three phases, Milestones DM2 utilises total diet replacement with OPTIFAST, along with frequent, remote communication, exercise and dietary advice via a mobile app or telephone calls; for those wanting to use the app, you will need a smartphone or tablet.

Milestone 1: Total meal replacement

Starting with a 1:1 consultation with your dedicated dietitian, you agree your goals and start the 8- to 12-week active weight-loss programme, with frequent communication with your dietitian to support and motivate you through the process. If your goals are achieved after 8 weeks you will progress to Milestone 1. If not, just stick with Milestone 1 for another 4 weeks. Keep the momentum and work with your dietitian to re-focus on your goals.

Read More

Milestone 2: Reintroducing food

It’s the end of Milestone 1 and you’re well on your way – you’re on track to achieving your weight-loss goals and because of this you are likely to experience changes in your blood sugar levels. With ongoing support from your Milestones DM2 dietitian, plus recipe ideas and healthy eating advice, top tips & tricks for staying on track, you transition back to a manageable, healthy diet over 4 weeks.


Read More

Milestone 3: Maintenance

You’ve done it! You have reached Milestone 3 and you’re ready to consolidate and maintain the achievements you’ve made. In this Milestone, you will continue with your healthy eating and exercise plan, with ongoing support from your dietitian and diabetes specialist nurse. This is about you and the future, a great chance to reflect on how far you’ve come and understand how best to maintain your weight loss and diabetes management.

Read More

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 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

Useful links

Diabetes UK is a leading UK charity that cares for, connects with and campaigns on behalf of all people affected by and at risk of diabetes.

Diabetes.co.uk is a global community and resource for diabetes, research and diabetes education programmes.

The British Obesity Society, a new organisation representing the interests of people both living with, and working, in the field of obesity.

Helping Overcome Obesity Problems (HOOP) UK is a charity dedicated to supporting children and adults struggling with obesity problems to achieve a happy and healthy lifestyle.

Top diabetes apps selected by Dr Partha Kar, NHS England's Associate National Clinical Director for Diabetes.

NHS Choices is a comprehensive health information service for the public.


References:

  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: http://www.nhs.uk/Conditions/Diabetes-type2/Pages/Introduction.aspx.