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Meal replacement products are hugely popular with people who are looking for a quick weight loss 'fix'. Available under a number of brands, these products are essentially nutritionally complete low-calorie substitutes for one or more of an individual's daily meals.
A meal replacement (MR) is a low-calorie beverage (shake) or bar which contains protein, carbohydrate and fat, fortified with vitamins and minerals. MR products are specially formulated to promote weight loss and assist weight management, while some are also designed to help boost strength and vitality.
The primary use of MR products is to help people lose weight (Heymsfield 2010), which requires a negative energy balance (Heymsfield 2010).
Using MR either as a sole source of nutrition or partial nutrition source can help to achieve a calorie deficit so weight loss is possible (Heymsfield 2010). Type 2 diabetes often results due to an excess of adipose tissue causing a decreased sensitivity to insulin.
By reducing weight and adipose tissue, especially from the abdominal area, insulin sensitivity will improve along with blood glucose control, and thus reduce the risk of complications.
MR weight loss plans and reduced calorie diets are both successful in reducing body weight and blood pressure (Metz et al 1997). Partial meal replacements (PMR), which involve replacing one or two meals a day with a meal replacement beverage, have been shown to lead to greater weight loss compared with a reduced calorie diet (Heymsfield 2010).
In one study, a one year follow-up of participants found equal reductions of risk factors associated with excess adiposity such as cardiovascular disease, but there was greater compliance from the PMR group (Heymsfield 2010). Some overweight individuals are at a greater risk of gaining excess adiposity and can have difficulty losing weight; therefore a calorie-controlled MR programme may be beneficial for them (Heymsfield 2010). Individuals have found MR diets to be preferable due to the decreased food-related decision A  making involved and reduction in calorie-dense food (Craig 2013).
MR products come in a pre-measured, calorie-controlled form, thus taking away the need for portion control.
Individuals with Type 2 Diabetes may have increased difficulty in reducing weight due to diabetic medication which can promote weight gain. Almased is a low-calorie, high-protein meal replacement shake designed to promote safe and effective weight loss and assist weight maintenance.
It has also been shown to be beneficial for people with diabetes due to its effects on blood sugar and insulin levels. Almased is a dietary supplement which uses a clinically tested formula based entirely on natural ingredients, including pure soya protein, probiotic yogurt and raw honey. Almased can be used by non-dieters to help boost metabolism and energy levels, or as high quality protein supplement for people looking to increase their strength and lean muscle mass.
The two-week Almased diet starts with three 50g Almased shakes, vegetable broth and two to three litres of liquid each day.
The next stage (Reduction Phase) involves a daily diet of two Almased shakes and a low-carbohydrate main meal, chosen from a list of Almased recipes, to kick start fat loss. In the fourth and final stage (Life Phase), you return to having three regular meals a day plus one Almased shake to keep the metabolism active. Optifast is a full meal replacement weight loss tool designed to help people safely reduce their body weight and maintain it a healthy level. Meal replacements are available as ready-to-drink shakes, shake mixes, soups or food bars.
Each Optifast product is low in calories, rich in essential nutrients, and intended to be used as part of a medically monitored weight management program. The Optifast Program is a 26-week diet plan that utilises meal replacements to help overweight (high BMI) individuals achieve their weight loss goals.
There are a wide range of products available under the Slim Fast label, and these products can either be used on their own to replace meals as it suits you, or together as part of the Slim Fast Diet. Alternatively, you can use them to create your own personalised diet plan for weight loss. The Slim Fast Diet is a widely used low-calorie diet plan that involves the use of meal replacement shakes for the purpose of weight loss and weight management. The Slim Fast Diet is designed for people who are overweight or obese (those with a body mass index of 25 and over). The diet claims to help people lose 1-2 lbs a week by restricting their daily calorie intake to approximately 1400 calories for women and 1600 calories for men. One healthy, balanced 500-calorie (800 calorie for men) meal chosen from a list of Slim Fast recipes.

Once you meet your weight loss target, the daily routine changes to one meal replacement shake a day, two healthy meals and up to two low-fat snacks. There are several issues and limitations that have been raised with regard to meal replacement diet plans. With regard to diabetes there have been some concerns regarding blood glucose (glycaemic) control due to the higher sugar content and glycaemic load of MR products.
A weight loss study proving a daily intake of 500kcal deficit compared slim fast containing lactose, sucrose and fructose with a sugar free variety.
There are some concerns that MR diets may promote poor eating behaviours such as binge eating.
Regular consumption of MR products may influence poor dietary habits and consuming meal replacements could cause a decreased intake of nutrient-rich foods. Other studies have also voiced concerns that using MR does not educate or support individuals about how to eat a healthy, balanced diet of appropriate portion sizes. There are some social limitations to being on a MR programme such as being unable to eat at a restaurant (Craig 2013). Adhering to a continuous MR programme may cause taste fatigue and become monotonous for the individual (Craig 2013).
Some side effects can occur, particularly in individuals who cannot tolerate sugar alcohol.
Prior to starting a meal MR programme, you must consult with you GP for advice on whether this is a suitable weight loss programme for you. There is limited information available regarding drug-nutrient interactions when on a meal replacement programme, therefore close monitoring by healthcare professionals such as your doctor and dietician is recommended (Heymsfield 2010).
When deciding on which MR product to go with, you may wish to seek out products specifically aimed at individuals with diabetes (Fonda et al 2010). Ensure the nutritional information provided on the label is for the serving size provided. The American Dietetic Association and the American Diabetes Association recommends PMR programmes for successful weight loss (American Dietetic Association 2009 and American Diabetic Association 2008).
All-in-all, meal replacements may be an appropriate weight loss choice for some individuals providing they educate users on healthy eating in the long term.
Find support, ask questions and share your experiences with 209,001 members of the diabetes community. 10 week (free) low-carb education program developed with the help of 20,000 people with T2D and based on the latest research.
The first comprehensive, free and open to all online step-by-step guide to improving hypo awareness. Click the button below to add the How to Control your Diabetes Without Drugs to your wish list. This involved eating just 800 calories a day (a mana€™s recommended intake is 2,500) a€” 600 calories from meal replacement shakes and soups and 200 calories from green vegetables. The first full day, a Sunday, I woke with no decent breakfast to look forward to a€” just some watery shake. The views expressed in the contents above are those of our users and do not necessarily reflect the views of MailOnline. In fact, some health organisations such as the American Dietetic Association states that the use of MR may be an appropriate weight loss strategy in some individuals (American Dietetic Association 2009).
This leads to poor blood glucose control, which in turn can result in the development of severe complications such as heart disease, kidney disease and even amputation. However there is an increase in compliance when using meal replacement products (Metz et al 1997). Insulin specifically is associated with excess weight gain as well as sulfonylureas, glinides and thiazolidinediones (Hamdy and Zwiefelhofer 2010). However for weight loss purposes, it's recommended to be used as part of a structured diet plan (see below). This is called the Starting Phase and is designed to reset and optimise the body's metabolism in order to speed up the fat burning process. This is then followed by the Stability Phase, which involves one Almased shake plus two balanced meals per day to help stabilise the metabolism and keep the weight off.
While the diet is recommended as a 14-day plan, there is a degree of flexibility as both the Reduction and Stabilisation phases can be extended for greater results. It found both to have no adverse effects on glycaemic control and no significant differences between the groups of weight loss, glucose, insulin, HbA1C and lipid levels (Yip et al 2001). Whilst there has been some evidence that this can occur, it is also evident during other weight loss programmes and therefore should not be a contraindication in most individuals (Wadden et al 2004).

But in one weight loss study comparing a usual food intake and PMR, no unhealthy eating habits were found and an increased intake of fruit and vegetables was reported, though this was self-reported (Ashley et al 2007). Adhering to this sort of programme may restrict this education (Craig 2013) and lead to people returning to their old unhealthy eating habits once their MR programme comes to an end.
This could perhaps be overcome by choosing to be on a PMR plan and being educated on making healthy choices when eating out which coincide nutritionally to the weight loss plan (Craig 2013).
Products with the highest sugar alcohol content have been found to be absorbed into the bloodstream at a slower rate and thus having a more beneficial effect on blood glucose levels (Fonda et al 2010). They will be able to talk through with you all of the above in more detail and any factors that need to be taken into account, such as the type and amount of medication you are taking. Ia€™d also eventually be on medication.My GP said that my diabetes was mild enough to be controlled through diet alone, and gave me a wad of leaflets on nutrition for diabetics. You also drink three litres of water a day.The theory behind the diet, which is the brainchild of Roy Taylor, professor of medicine and metabolism at Newcastle University, is based on the fact that type 2 diabetes is often caused by fat clogging up the liver and pancreas, which are crucial in producing insulin and controlling blood sugar. I took up salads, cut down on carbohydrates and ate my five-a-day a€” but progress was slow. This is why weight gain is such a risk factor for the condition, particularly if that weight is carried around the belly and abdomen. However, there are some unfortunate people like myself who seem to be disposed to accumulating fat in the liver and pancreas, despite being a healthy weight.Professor Taylora€™s studies have shown that drastic dieting causes the body to go into starvation mode and burn fat stores for energy a€” and the fat around the organs seems to be targeted first. But Professor Taylor said that the hunger pangs were something to celebrate, as it meant that the diet was working.
Scientists at Newcastle University had devised a radical low-calorie diet that studies suggested could reverse diabetes in under eight weeks.
This leads to the liver and pancreas becoming unclogged, and insulin and blood sugar levels returning to normal. One study by Taylora€™s team, published in 2011 in the journal Diabetologia, found that out of 11 type-2 diabetics following the diet, all reversed their diabetes in under eight weeks. Further studies revealed that type 2 diabetics needed to lose one-sixth of their pre-diagnosis body weight to remove enough fat from the pancreas to allow normal insulin production to resume.After contacting Professor Taylor, and getting the nod from my GP, I decided to follow the diet (experts warn never to start such a drastic regimen without first checking with your doctor). I have always been a healthy weight (I am 5ft 7in and just 10st 7lb), had no family history of diabetes, ate a healthy diet, never smoked, and I definitely did not have a sweet tooth. My target weight was 8st 12lb.But surviving on a soup, two shakes and green veg (necessary to provide some fibre and keep the bowels healthy) wasna€™t easy. I even started to get used to the idea of a shake for breakfast: thoughts of fresh crusty bread went out of the window. Lunch was my own delicious, thick mushroom soup (I blended mushrooms, onions, veg stock and herbs together), washed down with a cherry-flavoured shake. I gulped down a chicken soup supplement before leaving the office to see a play in the evening.A  Concentration levels were fine, but climbing up my local Tube station stairs afterwards was a real slog. I experimented with more soups such as carrot, tomato and pea, baked veg, stir-fried veg, boiled veg and casseroles, liberally seasoned with herbs Ia€™d never used before, such as cumin and paprika.A  Some mornings I walked to work fine, others I was in a bit of a daze, and on certain days walking round the office was an effort. My family were concerned about meA  getting thinner and somewhat short-tempered.Day six was a bad day. Despite it being mid July, I wore four layers of clothing to keep warm a€” and even then my fingers grew numb.
On day eight I played cricket and it was hard watching teammates stuffing themselves with doughnuts. Some of my clothes no longer fit me, and even I was slightly alarmed about how thin I had got in the face. I thought we could test this by taking people with type 2 diabetes and mimicking the very sharp reduction in food intake after surgery.
Alan Tutty, 54, from Seaburn Dene, Sunderland, is one of 34 volunteers in Newcastle Universitya€™s second trial looking at longer term effects of the diet. In eight weeks between last November and January, he, too, successfully reversed his type 2 diabetes, shedding 26lb to reach his target weight of 13st 3lb. James Walker, consultant diabetologist at Livingston hospital, West Lothian, believes the research challenged conventional thinking.a€?A lot of people have perhaps too simplistically thought that once the pancreas starts to fail, and stop producing insulin, it is an inevitable decline. Wea€™ve even produced a little diet booklet in West Lothian for patients mainly nicking Roya€™s ideas.a€™Professor Taylora€™s team is now looking at whether it works for those who have had type 2 for many years, and also whether the pancreas stays free of fat following the diet.

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