Diabetes Newsletter – February 2019

www.berkshirewestdiabetes.org.uk February 2019
Monthly diabetes news for healthcare professionals and
others in Berkshire West

  Low Calorie Liquid Diet (LCLD) Pilot  
There has been a lot of publicity following publication of the DiRECT Trial last year and general interest in low calorie liquid diets for T2 Diabetics. We are rolling out a pilot from April and are now inviting referrals of suitable patients from practices. The LCLD programme is called Counterweight Plus and is fully evidence based. This will not suit all patients and participants will require significant commitment. It will be run by fully qualified BHFT dieticians.

The programme runs for up to 20 appointments over a 12 month period, in four different phases. The initial capacity is restricted to 45 patients who will be required to source and pay for the recommended meal replacements during the first phase of the programme. The cost of the drinks is approximately £40/week. Full information is available here.

Eligibility criteria:
  • Age 18-75
  • Must have T2 Diabetes and NOT be on insulin
  • BMI Caucasian: >28 with T2DM diagnosed within the last 4 years
  • BMI Asian: >26 with T2DM diagnosed within the last 4 years
  • Ready to change
Exclusion criteria:
  • Active mental illness; severe depression, bipolar disorder, schizophrenia or other psychotic disorders
  • Myocardial infarction or stroke within the previous three months
  • Severe or unstable heart failure
  • Porphyria
  • Pregnant until > 4 months post-partum ad not breast feeding 
  • Substance abuse 
  • Eating disorder
The referral form will available on DXS soon.
  T1 patients who have not had an HbA1c for more than 18 months  
We are currently identifying the 340 T1 patients who, according to Eclipse, have not had an HbA1c performed in the last 18 months. This is part of our drive to increase specialist support for our T1 population. Some of these patients will be disengaged but most will have had their bloods checked at  Basingstoke and North Hampshire Hospital,  John Radcliffe or Great Western Hospital, with the results not reaching our computer systems. 

We would like to ask practices to check these patients (the numbers are small per practice) and the Berkshire West CCG Medicines Optimisation Team (MOT) is assisting with this, although not part of PQS. MOT will identify these patients to you during their Q4 visits and we would ask if you could check the accuracy and feed back to your clinical lead.

Many thanks.
Diabetes Specialist Nurse Hotline: 07879 814922 (Monday to Friday 10am – 4pm) Consultant Hotline: 07717 867448. Email: virtualdiabetes@royalberkshire.nhs.uk
Visit our website: www.berkshirewestdiabetes.org.uk
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