Milestones DM2 is a personalised weight management programme for type 2 diabetes which follows 3 core stages: the first is a total diet replacement phase using OPTIFAST® shakes and soups for 8 – 12 weeks, supported by your dedicated dietitian via phone or app communication; the second is a 4-four-week reintroduction of food and establishing new habits; and the third is the maintenance phase where you will continue your journey to improved health.
Oviva is a health care services provider and provides the Milestones DM2 programme. Oviva has a number of clinical programmes for conditions such as type 2 diabetes and obesity, and these programmes are tailored to the needs of each individual.
Uniquely, Oviva uses a combination of phone calls and a smartphone app to provide more frequent contact and self-monitoring support for people on its programmes. This allows Oviva to deliver high-quality clinical outcomes in a cost-efficient manner.
Nestlé Health Science is a health-science company engaged in advancing the role of nutrition to change the course of health for consumers, patients and our partners in healthcare. Through investing in innovation and leveraging leading edge science, they bring forward innovative nutritional strategies with proven clinical, health economic value and
quality of life benefits.
The programme is run by experienced diabetes specialist dietitians, and supported by diabetes specialist nurses (DSNs), diabetologists, psychologists and exercise therapists (NHS patients only).
A dietitian is a qualified healthcare professional who is regulated by the UK Health and Care Professionals Council (HCPC) and whose title is also protected by law. They hold either a four year degree in dietetics, or a science degree followed by a two year postgraduate qualification. A dietitian has supervised and assessed professional practice in clinical nutrition, medical nutrition therapy and food service management.
Your eligibility for this programme is assessed against a set criteria by a team of healthcare professionals including a psychologists, dietitian, diabetes specialist nurse and a diabetologist.
The criteria looks at the following;
- Diagnosed with type 2 diabetes (within the last 8 years)
- Body Mass Index (BMI) between 25 kg/m2 (overweight) and 50 kg/m2 (obese)
- Aged between 18 and 75 years
- Access and ability to use a phone or tablet
- Successful completion of a health screen by a dietitian
Please note if you meet all of the above this does not mean you are automatically suitable for the programme.
Yes, you are still eligible for the programme whilst taking insulin, and will be supported by a diabetes specialist nurse over the duration, as you may be required to check your blood sugar levels more frequently.
You may experience some side effects over the course of the programme, but you will be supported by your dietitian to help overcome or manage these. These can include lethargy, hunger, constipation, dizziness, feeling cold, dry skin, diarrhoea, headaches and nausea.
The Milestones DM2 app is a simple and convenient way to get on the go advice and support from your dietitian, without needing to wait for your next appointment. You can use the app to keep track of your diet and lifestyle, share this information with your dietitian and get feedback that’s tailored to your needs.
We recommend light, gentle exercise during the programme, but if you choose to embark on new rigorous exercise regimes wait until the food reintroduction phase.
In addition to the 3 OPTIFAST® shakes or soups, you have an allowance of 200kcal per day for non-starchy vegetables.
You can order the OPTIFAST® shakes and soups through your Milestones DM2 dietitian. The product will be delivered to your home.
This programme includes using a total diet replacement product, please check this ingredient list here
. If you have an allergy, please inform your dietitian, GP, doctor or nurse and they can determine if the programme is suitable for you.
When you join Milestones DM2, we will discuss with you how we will share information about your care. With your consent, we will notify your GP to ensure ongoing safe management of your diabetes.