Welcome to participants already on the NHS Type 2 Diabetes Path to Remission
Please note if you have not started the programme but are interested in finding out more about it please visit our introduction page.
The content, links and resources on this page complement your Coaching, Workbooks and other programme materials – they are not to be used on their own.
Momenta is delivering the NHS Type 2 Diabetes Path to Remission, formerly NHS Low Calorie Diet, in: Bath, North East Somerset, Swindon & Wiltshire, Birmingham & Solihull, Bristol, North Somerset & South Gloucestershire, Cheshire & Merseyside, Coventry & Warwickshire, Dorset, Greater Manchester, Leicester, Leicestershire & Rutland, Mid & South Essex, North East & North Cumbria, Nottingham & Nottinghamshire, Somerset and South Yorkshire. The Diabetes Remission Programme is also being delivered in: South Eastern Trust (Northern Ireland).
Table of Contents
Case studies
Several participants have shared their inspiring stories – you might find their experiences helpful to understand more about the programme.
There are some videos and many more written stories.
Juliet, Birmingham & Solihull
Momenta in Ramadan
If you’re thinking of fasting during Ramadan please download and read the relevant leaflet(s) below, depending on whether you’ll be in Phase 1, 2 or 3 during the holy month. This will help you make a fully informed decision.
If you do decide to fast then you must speak to your GP about any medications changes and we ask you to please let us know too.
Either way, we hope this information is helpful.
As well as the Momenta resources above we’re delighted to share two courses developed by a partnership between MyWay Digital Health, the Diabetes and Ramadan International Alliance (DaR), the British Islamic Medical Association (BIMA) and other international partners.
The course for people living with diabetes is designed for Muslim people with diabetes, their families and carers. It includes online content and live Q&A sessions – available in English, Arabic, and Malay. If you find it helpful please let others know via the Facebook group or other means.
You can access the course here: https://ramadan.mydiabetes.com
Momenta over Easter
Worried about how to navigate the upcoming Easter holidays?
Download our ‘Easter survival guide’ below for some helpful tips, whether you’re working on sticking to TDR products, maintaining your weight loss or simply looking to spend some time with family or friends.
Christmas and New Year survival guide
Worried about how to navigate the upcoming holiday season?
Download our Christmas survival guide for helpful tips, whether you’re working on sticking to TDR products, maintaining your weight loss or simply looking for some stocking fillers!
If you’re feeling unwell in Phase 1 and unsure what to do then have a look at the second document. Remember, if in doubt contact NHS 111 or in an emergency dial 999.
Ordering your Habitual TDR products
We’re delighted that Habitual are supplying TDR products. These are tried and tested and used extensively across the NHS T2DR service.
Habitual have made a single landing page for ordering your products at all points in the programme. You can find this page here. We’ll email you this link, your Voucher code and summary instructions when you need to order TDR products. Each Voucher code can only be used once.
We’ve also included some background information below – please read before ordering:
Your first Habitual order will contain a shaker. Please keep this throughout the programme.
Habitual offer the most popular TDR flavours:
- Two porridges: Morning (plain) and Banana (v)
- Five shakes: Chocolate, Vanilla (v), Strawberry, Caramel, Spiced chai latte
- Three soups: Spiced carrot (v), Green veg (v), Tomato and red pepper.
All products are vegetarian and four are vegan – (v) above. They are free of the most common allergens but please check the ingredients of each product if you have any allergies or intolerances.
Who to contact if you need help
If you have any questions about an order that you’ve placed or not received then please contact Habitual’s team directly at momenta@tryhabitual.com Make sure you have your order number and let them know you’re on the ‘NHS / Momenta Type 2 Diabetes Path to Remission Programme’.
If you have any questions about using your Voucher code then ask your Coach at a session or email Support@momentanewcastle.com. Unfortunately, the Momenta team cannot help with orders that have been placed – please contact Habitual directly to resolve these.
Your fibre supplement
Why, how and when to use your fibre supplement
Taking a fibre supplement with your TDR products will help prevent constipation – one of the most common side effects of this kind of diet. We recommend you start taking 7g of fibre a day (spread across the day) from your first day of TDR. You should be able to stop taking the supplement at the end of 12 weeks when you start Phase 2.
Directions for use
See your TDR booklet for details – this was in your Welcome pack.
Managing any discomfort or diarrhoea
If you have any unwanted discomfort or diarrhoea, please check the following before stopping taking the fibre supplement:
- Make sure that you’re taking only 7g in total every day
- Make sure that you’re spreading this out across the day – ideally in three separate doses about four hours apart (morning, midday, evening) – remember to drink extra fluid with each dose
- Try reducing your daily dose to half (3.5g) for a few days.
If there’s no change, then stop taking the supplement and inform your Coach and/or contact support@momentanewcastle.com for further guidance.
Ordering your Habitual TDR products
We’re delighted that Habitual are supplying TDR products. These are tried and tested and used extensively across the NHS T2DR service.
Habitual have made a single landing page for ordering your products at all points in the programme. You can find this page here. We’ll email you this link, your Voucher code and summary instructions when you need to order TDR products. Each Voucher code can only be used once.
We’ve also included some background information below – please read before ordering:
Your first Habitual order will contain a shaker. Please keep this throughout the programme.
Habitual offer the most popular TDR flavours:
- Two porridges: Morning (plain) and Banana (v)
- Five shakes: Chocolate, Vanilla (v), Strawberry, Caramel, Spiced chai latte
- Three soups: Spiced carrot (v), Green veg (v), Tomato and red pepper.
All products are vegetarian and four are vegan – (v) above. They are free of the most common allergens but please check the ingredients of each product if you have any allergies or intolerances.
Who to contact if you need help
If you have any questions about an order that you’ve placed or not received then please contact Habitual’s team directly at momenta@tryhabitual.com Make sure you have your order number and let them know you’re on the ‘NHS / Momenta Type 2 Diabetes Path to Remission Programme’.
If you have any questions about using your Voucher code then ask your Coach at a session or email Support@momentanewcastle.com. Unfortunately, the Momenta team cannot help with orders that have been placed – please contact Habitual directly to resolve these.
Your fibre supplement
Why, how and when to use your fibre supplement
Taking a fibre supplement with your TDR products will help prevent constipation – one of the most common side effects of this kind of diet. We recommend you start taking 7g of fibre a day (spread across the day) from your first day of TDR. You should be able to stop taking the supplement at the end of 12 weeks when you start Phase 2.
Directions for use
See your TDR booklet for details – this was in your Welcome pack.
Managing any discomfort or diarrhoea
If you have any unwanted discomfort or diarrhoea, please check the following before stopping taking the fibre supplement:
- Make sure that you’re taking only 7g in total every day
- Make sure that you’re spreading this out across the day – ideally in three separate doses about four hours apart (morning, midday, evening) – remember to drink extra fluid with each dose
- Try reducing your daily dose to half (3.5g) for a few days.
If there’s no change, then stop taking the supplement and inform your Coach and/or contact support@momentanewcastle.com for further guidance.
Phase 1 resources
Weight loss lookup table
Scroll through the pages below to find your starting weight. You can then look across the row to see your Gold, Silver or Bronze weight loss targets.
Each target is shown as a target amount of weight to lose, your target end weight and a weekly weight loss to aim for over Phase 1 so you can check if you’re on track.
If you don’t know your weight in kilograms you can divide your weight in pounds by 2.2 – don’t forget there are 14 pounds in a stone.
Ways to support me
Scroll through the pages below to find your starting weight. You can then look across the row to see your Gold, Silver or Bronze weight loss targets.
Each target is shown as a target amount of weight to lose, your target end weight and a weekly weight loss to aim for over Phase 1 so you can check if you’re on track.
If you don’t know your weight in kilograms you can divide your weight in pounds by 2.2 – don’t forget there are 14 pounds in a stone.
Free online resources
There are thousands of websites and apps to help you live a healthier lifestyle. We’ve highlighted a few of the free ones that you might find helpful to support you on your journey to living a fitter, healthier life.
– Shopping and cooking
– Getting active
Other helpful links
We’ve included a few other useful links for you here:
– Discover Momenta: The team behind the programme
– Newcastle University: Home of Professor Roy Taylor and his DiRECT team – where diabetes remission programmes all began
– Diabetes UK: Funder of remission research, partner of NHS England and a wealth of reliable information for people with diabetes.
Momenta's DRP Recipe books and other resources
The DRP Recipe book and Phase 2 Recipe book are both hosted on Discover Momenta’s website on the Diabetes Remission page of the Resources section.
This page also has other templates that are referred to in your Workbook, such as Building my balanced meal.
You can view them online or download or print them to browse at your leisure.
Phase 3: Reset packages
If you’re in Phase 3 and your weight creeps back to more than 2kg above your lowest weight on the programme you become eligible for some additional TDR product support called a ‘Reset package’.
You can discuss this with your Coach or one of our Advisers will contact you directly if we see your reported weight climbs back up. You can only use a Reset Package once on the programme but it can be useful to help support the other changes you’re making to your lifestyle.
You can read more about the two options by downloading the documents below or clicking on this link to view them online.
Rapid weight loss and biliary disease (including gallstones)
This information sheet provides further information and options for those who may have a higher risk of biliary disease to enable an informed choice about whether to participate in the programme. You can also discuss this with your GP practice.
- ‘Biliary disease’ describes all the things that can go wrong with the gallbladder
- Total diet replacement causes rapid weight loss which increases the chance that gallstones form and that any stones you already have are more likely to move about
- Gallstones that move can get stuck in the tube between the gut and the gallbladder
- Stuck stones can risk unpleasant pain, vomiting, infection and even, very rarely, death if the gallbladder bursts
- You can avoid biliary disease by losing weight more slowly i.e. not joining the NHS Type 2 Diabetes Path to Remission Programme but seeking other ways to get support to lose weight. You can also discuss with your GP the possibility of a prescription medication to reduce the risk.
Monitoring devices: Manufacturer instructions
Monitoring devices: Manufacturer instructions
Scales
You can download instructions and other information here:
Blood glucose monitor
You can download instructions and other information here:
https://www.spirit-health.co.uk/support-and-downloads
Please note that going forwards ‘control solution’ is no longer required as the devices are self-calibrating. Please disregard any mention of ‘control solution’.
If your meter is faulty please contact the Spirit team directly on CS@spirit-healthcare.co.uk or the freephone 0800 881 5423 so they can determine the issues and replace where necessary.
If you’d like to order more lancets or strips you can do so directly from the Spirit website at https://shop.spirit-health.co.uk/collections/tee2
Blood pressure monitor
Most participants will receive the UA-651 monitor. You can download instructions and other information here:
https://www.aandd.jp/products/manual/medical/ua611_en.pdf
Some people may receive the UA-651SL model, which is similar but slightly different. You can download instructions and other information here:
Bonus session: Eat out and party
Digital participants will access App content about this bonus session in the last two weeks of Session 21, the final session.
Congratulations for making it to this point!
Your App and Coach will signpost you to the first downloadable resource, designed for viewing online or home printing. In the final week you’ll also use the menus below.
(Eat out and party content is at the end of the Phase 3 Workbook for In-person participants).