Type 2 diabetes remission: Toolkit for General Practice

The NHS England Type 2 Diabetes Path to Remission programme has numerous eligibility criteria, including age less than 65 years, BMI of greater than 27 kg/m² (ethnicity-adjusted) and duration of type 2 diabetes less than 6 years. Individuals who are not eligible for the programme but for whom such a weight loss intervention is likely to be safe may benefit from practice-based care. Those with more than 6 years’ duration of type 2 diabetes can achieve remission, but it becomes steadily less likely. However, weight loss in type 2 diabetes potentially has many other benefits, including substantially decreasing cardiovascular risk. In the DiRECT study, the programme was delivered by practice nurses or practice dietitians, with minimal doctor input.

This toolkit provides materials to support practice-based care aimed at the attainment of remission through total diet replacement in people who are ineligible for the NHS Path to Remission Programme.