Healthier You Diabetes Prevention Programme

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Has anyone done this? I think Im eligible in my area based on waist size and bmi () but cant find out what their philosophy is through google.

I like that it looks longer term (6_9 months?) And there is some specialist input (who? Is it run by nutritionists orhealth care workers?)

Id like to know what its basis is though as last thing i need is a sw/ww type group. But if its more encouraging mindful eating etc that would be good. And actual nutrition.... Im a bit wary of the eatwell/carb at every meal school of thought as I think i need to cut these down a bit.

Also does it involve lots of weighing/calorie counting. These dont hwve a good track record with me (teiggers binge eating.)

I feel I could do with a psychology approach/why I eat/psychology of eating etc but cant afford that. And terrified of surgery....

Bumping... anyone!?

The reference group for the programme is here: https://www.england.nhs.uk/diabetes/diabetes-prevention/exp-ref-grp/
It has been put together but the people above. Are you doing the digital version with app support?

This is one of the app partners that explains a bit more: https://www.secondnature.io/?utmsource=blog&utmmmedium=moreinfo&utmcampaign=nhsdpp

There is more info on their website.

Hi thanks AHobby. I've just filled a form in so far.... you could choose individual or group but not sure of the format?

The second nature bits look good so far.

here is also the 800 diet - developed by Dr Michael Mosely - he has reversed his own type 2 diabetes with this and has helped many others to too taking people out of being on the verge of it. It is hardcore, but it works. There is also a facebook page with everyone contributing their experiences which can be helpful.

There is also a 12 week programme for it

Have a look at diabetes.co.uk - very supportive and helpful forum.

Hi im not as worried about different diets to try as such, I know there's lots. The local livewell/NHS is offering this one to people with a higher risk of diabetes (in my case m.obese) so wondered about people's experiences of it. I like the idea of actual support as Im good at starting somehing and not being able to stick at it.

But wanted to check what that actually looked like before going forwards.

If its a national programme im amazed more people haven't done it!

Ive googled second nature (and its previous name our path) and mumsnet and its not got brilliant reviews. A bit mixed.

Not sure. I think I will adjust my diet to have less carbs and more protein. Im not sure I need something too prescriptive.

So the healthier you program is provided by different private sector suppliers

It depends which supplier your CCG has given the contract to. Usually it is more than one and you get a choice

There are f2f suppliers and digital suppliers. Second nature (previously our path) is a good digital supplier. Most suppliers offer diet and life’s improvement advice with human coaching (supplied by dietician/ trained health coach etc).

NHS England put all suppliers through a very rigorous procurement process. So they have undergone a lot of assessments and you can be rest assured data is safe, advice is scientifically based, diets are safe etc.

I'm sure the 800 diet works for some people, but I think it's a temporary fix rather than a permanent one. As soon as you go back to eating normally, the weight comes back again.
As for people who think they can make it a permanent change, I don't fancy living the rest of my life being permanently hungry, which is basically what an 800 calorie a day diet means.
I manage my T2 by cutting back on carbs - no rice, pasta or potatoes, although I still eat bread.

Also Second Nature is brilliant. You get out what you put in. I did it during lockdown (paid for myself so not sure if that added motivation!)

Ignore the mumsnet reviews- I read those and didn’t really agree - wasn’t my experience.

I have professional knowledge about healthier you, but also struggle with my own weight. I’d say one of the biggest benefits is the health monitoring- your gp will check hba1c etc ... that can be a big wake up call. Are you prediabetic? Having to be accountable to your GP could make a difference to your success... rather than going it alone.

Good luck

My DH has just been signed up for this - he has ww meetings (online obvs) but it is aimed more at healthy eating not weight loss. I think it is a separate meeting to the normal weight loss ones. I find it ridiculous - the logic behind the 'points' is bizarre and makes no sense, I do 5:2 and find that works for me, it didn't work for him. Each to their own.

I haven't had contact with my gp yet - just filled out a form for the local wellbeing/nhs application for it.

I an now scared I could be diabetic/ prediabetic though

Points? Has he got weightwatchers?

@KarenMarlow3 actually Professor Susan Jebb who is part of the ERG linked to by the second poster, highly respected internationally for her diet research, has shown through research that people who lose weight very rapidly keep off more weight long term than people who lose it slowly.

The idea is for fast 800 to help you she weight very quickly. Then you switch to a higher calorie Mediterranean diet. There is no evidence this screws with your metabolism. In fact your body is likely to resist putting on weight at first even if you overeat. Then you will start piling on the weight.

The problem for most people is spike in blood sugar levels. That causes cravings and overeating. Hence the low carb focus of fast 800, second nature etc.

The evidence shows that it works.

• idea is for fast 800 to help you lose weight very quickly

Weight watchers is one of the new suppliers so yes it is very possible weight watchers is an option in some areas

I would recommend booking an appointment with your GP. Don’t be scared. Ask for a blood test and weigh in. Better to know if you are prediabetic and get support. It’s free which i think is amazing ... the NHS is actually investing in prevention!

Having diabetes shortens your life by 10 years on average and can lead to a whole host of health problems. You want to do everything you can to avoid developing diabetes.

I absolutely dont want to be offered weightwatchers. Most people regain and then some on those type of diets. I dont want a very restrictive diet but nutritional guidance and help.

I haveblooked at fast800 before and not sure it was suitable as I have a history of disordered eating . Im up for a low carb med diet though and have been googling suggestions in that direction recently.

Ive switched from weetabix/porridge to grek yoghurt/berries and chia/flax.

Ive tried to make morning snack nuts and a satsuma.

Im working on not basis lunch and dinner on carbs (current nhs/ eatwell.plate advice 🙄) but not eliminating or I will binge.

Im wanting to do some more reading on psychology of eating and have been following some dieticians who advocate more mindful esting approach.

Im not sure I want anything gimmicky or scripted.

Hmm mayve I should find out. I cant face failure though or dr thinking im going against advice. I want to know what it is first!!

Ah yes Im definitely up for help in theory. Ive been going back and forth over last 5 or 6 years telling dr Im struggling and just getting offered ww or slimming world.

Ive had some trauma therapy from a charity and am so aware its linked to past trauma and psych aspects too.

If i had money I would pay a therapist and a trained dietician... but I don't!!!

You will only find out what it is when you contact your GP . I’m pretty certain you will have a choice

As for the psychology- yes second nature does offer this. There are daily articles and you can also message your health coach. From memory Oviva and Liva are other non group based programmes. I think whichever you choose, you need to be prepared mentally and want to lose weight. I know that sounds obvious, but it is hard work. You need to focus on changing habits and doing things daily on a 12 week programme, then maintainable after that. It is fairly intensive but that’s the only way to lose weight really. Like I said rapid weigh loss and changing habits is how most people keep it off.

But def seek the advice of a GP and ask about pathways for people with binge eating disorders... I’m sure that your programme will be tailored around that.

Good luck

Also just something else to think about if you need therapy. My employer offers an employee assistance programme- including professional counselling. I only found out recently it’s available for anyone in my family unit. I know a lot of companies / orgs offer this now including the NHS which is the largest employer in the UK

A lot of people don’t realise they have access to free psychology support through work/ partners work.

If that doesn’t help you, might help someone else reading so thought it was worth mentioning.

Thanks for all your help. This one was direct self referall if you met an at risk "score" rather than through the GP. But I will measage my gp (online message appointments/telephone now.)

The dr hasnt offered psych help or direct help for binge eating before so will have this as a question when the programme respond.

We do have acess to work counselling but its just 6 weeks. I've done this before and its been okay but they tend to avoid all the deep abuse stuff due to lack of time. The trauma counselling I had was nearly a year and has made so much difference lifewise and put me in a better position to address health again. However the charity has closed and covid made it harder so I felt it was just as I was getting somewhere it stopped!

I definitively want/need to change. Just incredibly wary of another "diet" like ww/sw that can leave people with rebound weight or more messed up with eating patterns. So want to be buyer beware about it! Sounds like it might be worth persuing.