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The NHS Type 2 Diabetes Path To Remission  Programme

The NHS Type 2 Diabetes Pathway to Remission Programme provided by Counterweight is an evidence-based 12-month weight management programme including an initial total diet replacement (TDR) phase for weight loss. The programme is based on the DiRECT trial and is designed to support people diagnosed with type 2 diabetes to achieve:

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Significant Weight Loss

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Improvement in HbA1c

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Reduction in medication


Our medically-supervised programme provides patients with specialist support (dietitians, nutritionists, psychologists, medical team). Each phase of the programme is designed to support patients in building sustainable long-term behavioural change, weight loss and weight maintenance

The service is tailored to the patient and can be delivered either face-to-face or remotely (video call/phone call). The delivery is supported by educational content and tools provided via the Counterweight App or hardcopy workbook

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Who Is Eligible

  • Aged between 18 and 65 years old
  • Confirmed diagnosis of type 2 diabetes within the last 6 years
  • BMI over 27 kg/m2 (White ethnic groups) or over 25 kg/m2 (Black, Asian and other ethnic groups)
  • HbA1c measurement taken within the last 12 months 
        1) On diabetes medication 43-87 mmol/mol
        2) Not on diabetes medication 48-87 mmol/mol
Download full eligibility criteria here

Frequently asked questions


"You do a diet to lose weight, if you do this diet, you will lose weight. With Counterweight, I also know I can maintain this weight loss too.”


"It’s so much more than just losing weight, this programme has transformed my health and honestly saved my life. The results really do speak for themselves."


"My whole outlook on life is better, I’m more positive, I have more energy, I’m less stressed and I can do more with my family. Counterweight gives you everything you need to be successful!"

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