The local NHSGGC Type 2 Diabetes Remission Programme is led by Specialist NHS GGC diabetes dietitians and offers a combination of face-to-face, virtual and telephone consultations.
The programme is for patients who require more personalised or intensive support than the National Digital Type 2 Diabetes Remission Programme can provide.
I would like to refer my patient
An information sheet below outlines the considerations to make when choosing the most appropriate remission programme for your patient, details of eligibility criteria and how to make a referral. Please ensure patients meet all eligibility criteria and have no known medical exclusions.
If your patient meets the eligibility criteria to start the NHSGGC Type 2 Diabetes Remission Programme, they will be screened and supported by the NHSGGC Remission Team for 12 months.
The NHSGGC Remission Team will align them to a local specialist diabetes dietitian who will support them throughout their weight loss journey, helping them achieve remission.
The dietitians from the NHSGGC Remission Team are happy to discuss and advise on individual cases.
Contact Details
- Call Type 2 Diabetes Hub: 0141 531 8901
- ggc.type2diabetes.remission@nhs.scot
Roles and responsibilities of the GP Practice
Pre-Programme
- Confirm eligibility, including up-to-date HbA1c and blood pressure
- Review and advise on medication changes prior to starting the programme (patient to book this appointment; refer to medical management guidance)
- Prescribe a 3-month supply of fibre supplement, if clinically appropriate
- Provide a blood glucose monitor and one box of strips for patients previously on hypoglycaemic medication, where indicated
During the Programme
- Liaise with dietitians regarding medical or medication-related queries, as required
- Review and adjust medications if indicated (e.g. in response to changes in blood glucose or blood pressure)
- Support patients in arranging HbA1c testing at approximately 3 and 6 months
- Receive written updates on patient progress, including notification of withdrawal where applicable
Post-Programme
- Support HbA1c testing at 12 months
- Continue routine annual diabetes care
- Receive a summary of patient progress and outcomes at 12 months
Ongoing Communication and Monitoring
- Raise any clinical concerns with the dietitian as appropriate
- Patients are responsible for self-monitoring (blood glucose, blood pressure, weight) and for reporting concerns to the dietitian and/or GP practice
- Dietitians will contact the GP where medication review is indicated; prescribing decisions remain the responsibility of the GP
- GP practices will be kept informed of patient progress throughout the programme
Additional Information
- Dietitians can provide weighing scales and blood pressure monitors if required
- The programme will be evaluated in line with the Scottish Government framework, with quarterly reporting
What does the programme involve for my patient
Please explain to your patient that they will receive a programme information leaflet and a letter inviting them to book an appointment in the programme.
Following your patient booking an appointment with the NHSGGC Remission Team they will be screened to ensure they are suitable for the programme.
The referrer will also receive a notification on the outcome of the referral via letter.
If your patient is suitable, they will be fully supported by the NHGSGGC Remission Team in preparation to commence the programme detailed below.
Stage 1 – Total Diet Replacement (12 weeks)
- All meals are replaced with nutritionally balanced soups and shakes (providing around 850 calories per day)
Stage 2 – Food Reintroduction (12 weeks)
- Gradual return to everyday foods and support with healthy eating and lifestyle habits.
Stage 3 – Weight Maintenance (6 months)
- Ongoing support to help with building sustainable lifestyle habits and maintaining weight loss.
Where does the programme take place
Patients have the option of a mixture of in person, video or telephone calls.
There are clinics located across the Board.