He has already lost 2 stone 10 lbs. Will he reach his ‘dream’ weight? Join him on his weight loss journey. Brenda Smith, a Registered Dietitian, shares her client’s experience.
Brett is 60 years old with Type 2 diabetes which is controlled by diet and medication. He started with a BMI of 36.9kg/m2 (Obese, 21 Stone 11 lbs) and after 6 weeks has lost 2 stone 10 lbs. At the beginning of the Programme we discussed his weight history, previous weight loss attempts and his attitude to a range of weights. His ‘acceptable’ weight was 19 stone and he has already achieved this. He has successfully pushed through his 5% and 10% weight loss targets. These goals are clinically important because this is when weight loss starts to translate into health benefits. The diabetic nurse recently reduced his diabetic medication because his blood glucose measurements have started to fall. Why has he been successful so far? What I think is less important, it’s what he thinks that is more important.
This quarterly news letter follows Brett’s story at the beginning of the Counterweight Plus (CWP) Programme using his own words and followed by my observations. The Programme targets 15% weight loss but clients can lose more. It is a year long programme that has 3 phases. Brett is in Phase 1, the Total Diet Replacement phase which lasts 12 weeks. Phase 2 is the Food Reintroduction Phase and Phase 3 is the Maintenance Phase. During the Total Diet Replacement Phase, clients have a daily menu of 4 sachets of shakes and soups plus some milk (and plain yogurts depending on their plan). The Total Diet Replacement Phase kick starts their weight loss. It also allows them to have a break from food and to reflect on their past eating behaviours. In the Food Reintroduction Phase, the shakes and soups are replaced with balanced meals. This is done gradually. By the end of the Programme, clients should have a balanced diet and be able to maintain their new lower weight. In subsequent quarterly news letters, I hope to update you on Brett’s journey.
With regard to cost reservations I didn’t have any. I don’t know what my pre-diet food bill amounted to, so I had no thoughts on whether the programme was more expensive. I just thought that losing weight was my top priority given my diabetes so that the sums mentioned were not that important.
I carefully screen my client’s for suitability. CWP was appropriate for Brett and I believe he will be successful because he was ready to make changes and losing weight is his ‘top priority’. He has worked his lifestyle around losing weight. He wants to be a healthier weight to improve his diabetic outcomes and prevent health complications such as heart disease and nerve damage.
Sometimes a client may come across people in their life who may not be as supportive of their weight loss as they would like. For example some people may be jealous of their success, pressurise them to eat or don’t think it’s healthy to be on the Total Diet Replacement Plan. Brett has ongoing support from his wife in addition to the 1:1 support I provide at appointments. I encourage clients to identify family, friends, groups and colleagues who will be supportive to their weight loss journey.
The cost of the shakes and soups is £2.14 per meal. I provide these at cost. I am an independent dietitian and get no kind of commission for providing the shakes and soups or providing this Programme.
Brett has already started to discover his behaviours towards food and has started to manage difficult times using forward planning and alternative activities in high risk situations. These behaviour modifications will become powerful tools when we start re-introducing foods in his diet.
Brett’s ‘dream’ weight is 16 stone 7 lbs. So far, he has made the most of the Programme and I think he will achieve his ‘dream’ weight and hopefully go on to reach a healthy body indicator. He continues to inspire me with his commitment. Most recently he has returned to the gym and went out on his push bike.
More details on the weight loss programmes I provide and my wider services with costs can be found on www.dietarysolutions.co.uk or if you would like an informal chat please call me or book an appointment at Springbank Clinic.