Trial reportDiabetic medicine : a journal of the British Diabetic Association2017
Acceptability of a very-low-energy diet in Type 2 diabetes: patient experiences and behaviour regulation.
Trial report in Diabetic medicine : a journal of the British Diabetic Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Behavior change techniques in low-calorie and very low-calorie diet interventions for weight loss: A systematic review with meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Efficacy of Intermittent or Continuous Very Low-Energy Diets in Overweight and Obese Individuals with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analyses.Journal of diabetes research · 2020Pooled it
- Trial
- Physical activity, inactivity and sleep during the Diabetes Remission Clinical Trial (DiRECT).Diabetic medicine : a journal of the British Diabetic Association · 2023Trial
- Perceptions, attitudes and beliefs towards soya among healthy Asian women participating in a soya randomised controlled trial.Journal of nutritional science · 2023Trial
- Antihypertensive medication needs and blood pressure control with weight loss in the Diabetes Remission Clinical Trial (DiRECT).Diabetologia · 2021Trial
- Individualized Meal Replacement Therapy Improves Clinically Relevant Long-Term Glycemic Control in Poorly Controlled Type 2 Diabetes Patients.Nutrients · 2018Trial
- Acceptability of a very-low-energy diet in Type 2 diabetes: patient experiences and behaviour regulation.Diabetic medicine : a journal of the British Diabetic Association · 2017Trial
- Insights into diabetes remission services: perspectives from general practitioners, family physicians and multidisciplinary teams.Family medicine and community health · 2025Article
- Understanding Preferences for Weight Loss Diets Amongst Patients With a Diagnosis of Type 2 Diabetes.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Aetiology of type 2 diabetes: an experimental medicine odyssey.Diabetologia · 2025Review
- Understanding behaviour change maintenance after attending a self-management education and support programme for type 2 diabetes: A longitudinal qualitative study.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- A very-low-calorie diet (VLCD) intervention for the management of prediabetes and early Type 2 diabetes mellitus in a multi-ethnic cohort in Aotearoa New Zealand: The PROGRESS NZ feasibility study.Asia Pacific journal of clinical nutrition · 2024Article
- Remission of type 2 diabetes: always more questions, but enough answers for action.Diabetologia · 2024Review
- Aetiology of Type 2 diabetes in people with a 'normal' body mass index: testing the personal fat threshold hypothesis.Clinical science (London, England : 1979) · 2023Article
- Postmenopausal women's experiences of weight maintenance following a very low energy diet.Obesity science & practice · 2023Article
- Uncovering Barriers and Facilitators of Weight Loss and Weight Loss Maintenance: Insights from Qualitative Research.Nutrients · 2023Review
- Psycho-social factors associated with type two diabetes remission through lifestyle intervention: A scoping review.PloS one · 2023Article
- What predicts drug-free type 2 diabetes remission? Insights from an 8-year general practice service evaluation of a lower carbohydrate diet with weight loss.BMJ nutrition, prevention & health · 2023Article
- UK dietitians' attitudes and experiences of formula very low- and low-energy diets in clinical practice.Clinical obesity · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
aimsTo evaluate the acceptability of an 8-week very-low-energy diet for remission of Type 2 diabetes, and to identify barriers and facilitators of adherence and behaviour-regulation strategies used by participants in the Counterbalance study.
methodsEighteen of 30 participants in the Counterbalance study (ISRCTN88634530) took part in semi-structured interviews. Of these, 15 participants were interviewed before and after the 8-week very-low-energy diet intervention. Thematic analysis was used to analyse the narratives.
resultsThe prospect of diabetes remission, considerable weight loss, and long-term health improvement provided participants with substantial initial motivation. This motivation was sustained through the experience of rapid weight loss, improvements in blood glucose levels, social support and increased physical and psychological well-being. Overall, adherence to the very-low-energy diet for 8 weeks was perceived as much easier than anticipated, but required personal effort. Participants addressed challenges by removing food from the environment, planning, avoidance of tempting situations or places, and self-distraction. Weight loss and improvements in blood glucose levels lead to a sense of achievement and improvements in physical and psychological wellbeing.
conclusionsDietary treatment for reversal of Type 2 diabetes is acceptable and feasible in motivated participants, and the process is perceived as highly gratifying. Research outside of controlled trial settings is needed to gauge the generalisability of these findings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.