18
LIVING
Shaking things up!
The NHS 'soups and shakes' diet, explained by NHS
registered dietician Lisa Poole.
The NHS soups and shakes
programme has been
designed for weight loss
and can put Type 2 diabetes
into remission. T2D now affects one
in every 16 people, which is 6% of
the UK population. There is a new
diagnosis of the condition every two
minutes, and diagnoses have doubled
over the last 20 years. It stands at
4.8m now and will likely be 5.3m
by 2025. As a health problem, it's
growing at a high rate and is one of
the world's most common long-term
conditions. Globally it's expected to
reach 642m by 2030, a worldwide
epidemic of obesity and Type 2
Diabetes.
As many as 63% of adults in
England are classed as being
overweight or obese, with a third of
the UK population potentially having
pre-diabetes. The DiRECT study
monitored a low calorie total diet
replacement (TDR) can help address
weight gain. The idea of soups and
shakes (previously known as the low
cal diet, or LCD) is referred to as
Type 2 diabetes path to remission
programme.
Nutritionally
complete
The idea is to have an extremely
low calorie diet of only 800 calories
per day, in the form of four meal
replacements per day. Essentially
the programme was designed so that
people do not do it by themselves
but with guidance, in order to make
sure that all nutrients required were
being taken. The shakes and soups
are designed to be nutritionally
complete. It also requires 2L of water
to be drunk daily. The programme
takes a year to complete. There are
three tiers across the year. The first
consists of 12 weeks of soups and/or
shakes per day (no actual meals) for
the first 12 weeks. Tier 2 takes fourto-six weeks,
over which structured
food is reintroduced. The idea here
is to learn about and achieve a
healthy and sustainable diet of more
normal food. Tier 3 is really about
maintaining the changed eating and
lifestyle habits. This is undertaken
with support from a qualified coach
for the rest of the year.
Any person going on the
programme needs to be motivated
and
Dietician Lisa Poole.
HD-MAP includes a 9-by-9 mm array
of thousands of very short projections
around 250 microns in length. Invisible to
the naked eye and coated with vaccine,
the projections can quickly deliver vaccine
to immune cells.
Vaxxas also claims that the patches
can deliver vaccine more efficiently - a
positive when people around the world are
clamouring for a vaccine against COVID19. The
company points to a recent
clinical study in which their micropatch
delivering a sixth of an influenza vaccine
dose produced an immune response
comparable to a full dose by intramuscular
injection. A two-thirds dose by HD-MAP
generated significantly faster and higher
overall antibody responses.
Because a vaccine is dried onto the
patch, the vaccines are stable outside
of cold-chain (they do not have to be
refridgerated), a potential answer to the
question of how to keep a traditional
COVID-19 vaccine cold in developing
countries and even developed countries.
Vaccines delivered through HD-MAP in
the clinical study stayed stable at 40oC
(104o F) for 12 months.
EDIT COMMENT: It's a different use
for patch, in the diabetes sector at this
stage, sensors are used to sense glucose,
not deliver drugs, but it's not beyond the
realms of reason that a similar micropatch
could be used for such a purpose in the
future to deliver diabetes medications.
Life Sport Diabetes
Mel Stephenson-Grey's home workout
circuit consists of six different exercises.
She explains, "With each exercise we'll
do consecutively for 30 seconds and then
rest for 30 seconds. If someone is new to
fitness or this type of activity, they might
choose to take a longer rest between
each exercise, for say a minute or two.
Once all of the exercises are completed,
we then take a six-minute rest (which
again is adaptable) and once recovered,
we repeat the circuit all over again."
Stephenson-Grey took part in the
London 2012 Olympics Games torch
relay and still trains (prior to lockdown) at
the track and in the gym. The exercises
she does include standing squats, pressups, the
plank, lunges, the superman
pose (when the opposite arm and leg are
stretched out) and sit ups.
She says, "This type of fitness session
is inspired by the type of session I've often
done with my training group over the
years, particularly at the start of the winter
or summer training season, as it helps
Home workouts with Mel Stephe
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