Momenta Type 2 Diabetes Path
To Remission Programme

More Information

This short video explains how the NHS Type 2 Diabetes Path to Remission programme works, the support you would receive, and how it could help you improve your health.

We also recommend taking a moment to review the FAQs below, which answer some of the most common questions we hear from people considering the programme.

Many people find that, once they understand what’s involved and the support available, they feel more confident about going ahead. When you’re ready, you can let us know whether you’d like to be referred.

Play Video

Frequently Asked Questions

It is a free NHS-funded programme that supports people with Type 2 diabetes to lose weight, improve their health and work towards diabetes remission. You are supported for 12 months by trained health coaches, using meal replacement products, lifestyle support and long-term guidance.

Diabetes remission means your blood sugar levels return to the non-diabetes range without needing diabetes medication. Not everyone will reach remission, but many people see big improvements in their health, weight and blood sugar levels.  Also, many people on diabetes or blood pressure medication stop or reduce these medications.

The programme is based on ground-breaking research in the UK at Newcastle, Glasgow and Oxford universities – the DiRECT and DROPLET studies.  It has three stages:

  • Phase 1 – Reboot: A low-calorie diet using meal replacement products
  • Phase 2 – Rebalance: Gradually reintroducing healthy food
  • Phase 3 – Retune: Ongoing support to help maintain your progress

You receive support for a full 12 months.

Yes. The programme is fully funded by the NHS. You do not need to pay for coaching or meal replacement products.

Yes. You can take part even if you use most diabetes medication – or are taking weight-loss medications such as GLP-1s. Unfortunately, however, insulin and some other medications are high risk with a low calorie diet and so are exclusion criteria.  Your GP practice team will advise you appropriately and the programme team will support you.

Most people taking diabetes, blood pressure and some other medications will need to work with their GP practice to stop or reduce these when they start the programme.  Some medications may need to be reintroduced over time.  This is done safely with your GP or diabetes team. Never stop medication unless advised by a healthcare professional.

These are used in the first stage of the programme and help your body lower blood sugar and lose weight safely. There is a wide choice of meals, shakes and soups, including vegetarian, vegan, gluten-free and lactose-free options.

You can choose to take part:
  • Digitally – using an easy-to-use award-winning app with remote coaching
  • In person – at local community venues with face-to-face support

Both options give you access to trained health coaches.

On average, people lose almost 15% of their starting weight in the first 12 weeks. Results vary, but many people achieve significant weight loss and health improvements.

You may be eligible if:

  • You have Type 2 diabetes
  • Your HbA1c is within the programme range
  • Your GP thinks the programme is right for you

 

If you fill in the form, your GP practice will check this for you.

We will pass your details to your GP practice. If you are eligible, they will contact you with next steps to refer you into the programme.

That’s completely fine. You can tell us you would like more information or support later. There is no pressure to start before you feel ready.

Yes. Your details are handled securely and only shared with your GP practice to let them know if you would like to be referred or not.  If you consent to receive further information about Momenta and Liva Healthcare services we will retain your details – but you can ask us to delete them at any time..  If you do not fill out the form we will remind you and then delete your information after 14 days if we have not heard from you.

 

Request a referral or more information

Please complete this short form to let us know what you’d like to do next. If you choose to be referred, your GP practice may need a little time to complete this.

T2DR Referral Form
GP Practice Address
GP Practice Address
Consent

By pressing submit, I confirm I am a registered patient at the named practice.

Answer yes if:
  • You have been told by a health care professional that you have high total cholesterol, or high LDL (bad) cholesterol.
  • You are taking medication to lower your cholesterol e.g. statins.

Note: If you’ve taken your own cholesterol using an at home kit and had a high reading this is not a clinical diagnosis and you should answer “Don’t know” to this question.

Your Heart Health Report will give you more information about this risk factor and how you can get it measured.

Answer yes if you:
  • Include vegetables or fruit at every meal
  • Choose fruit for dessert or as a snack
  • Almost always eat wholegrain cereal products like wholegrain bread, wholewheat pasta and brown rice over “white” alternatives
  • Eat fish, beans, lentils, white meat or some dairy foods as your main sources of protein in most meals
  • Eat red or processed meat only occasionally, if at all
  • Reserve sweet treats and sugary drinks for special occasions rather than having them every day
  • Limit foods that are high in salt and don’t add salt to meals
What counts as physically active?

All activity is good activity but some has greater health benefits. This question is asking for how much “moderate” intensity activity you do.

If you’re working at “moderate” intensity , typically:

  • your heart rate increases
  • you feel warmer and may start to sweat
  • you breathe a little faster or harder but are not out of breath
  • you can carry on a conversation, taking a few extra breaths between sentences, but not be able to sing

 

Simply walking more quickly than normal or cycling can achieve this. Other activities like housework, gardening, dancing, exercise and sport can also have the same effect.

Note: If you can’t sing or have to take a breath between words, this can be described as “vigorous” activity. To answer this question, count every 1 minute of vigorous activity as 2 minutes of moderate activity.

Answer yes if: you drink more than 14 units a week

If you’re not sure how much alcohol you drink in a typical week, use our “Alcohol Units” diagram to find out. Think about the type and how many drinks you have over the course of a typical week and use the diagram to calculate your average number of units per week.

If you’re still not sure answer “Don’t Know”

Momenta Alcohol Units Diagram
Answer yes if:
  • You’re of white family origin and your BMI is 25 or above.
  • You’re of Black African, African Caribbean, South Asian, Chinese, Middle Eastern and mixed family origin, and your BMI is 23 or above (you have a higher risk of developing some long-term conditions like Type 2 diabetes and cardiovascular disease at a lower BMI ).
Calculate Your BMI

This link will open a new browser window, so you can use the NHS BMI calculator to work out your BMI.

Check Your BMI

This link will open a new browser window, so you can use the British Heart Foundation BMI calculator to work out your BMI.

This browser window will stay open, so you can come back and carry on with your Heart Health Check straight away.

If you’re still not sure what your BMI is, answer “Don’t know”

Answer yes if:
  • You have been told by a health care professional that you have diabetes (Type 1 or Type 2) or pre-diabetes
  • You are taking medication for diabetes e.g. metformin

Note: If you’ve taken your own blood glucose (sugar) using an at home kit and had a high reading this is not a clinical diagnosis of pre-diabetes or diabetes and you should answer “Don’t know” to this question.

Your Heart Health Report will give you more information about this risk factor and how you can get it measured.

Answer yes if:
  • You have been told by a health care professional that you have high total cholesterol, or high LDL (bad) cholesterol.
  • You are taking medication to lower your cholesterol e.g. statins.

Note: If you’ve taken your own cholesterol using an at home kit and had a high reading this is not a clinical diagnosis and you should answer “Don’t know” to this question.

Your Heart Health Report will give you more information about this risk factor and how you can get it measured.

Answer yes if:
  • You’ve been told by a health care professional that you have high blood pressure (hypertension)
  • You take medication for high blood pressure (hypertension)

Note: If you’ve taken your own blood pressure at home without support from your GP surgery and had a high reading this is not a diagnosis of high blood pressure, which can only be done by a health care professional. You should answer “Don’t know” to this question.

Your Heart Health Report will give you more information about this risk factor and how you can get it measured.