Professor Mike Lean, Douglas Twenefour

11 November 8-9pm


Professor Mike Lean, Douglas Twenefour

11 November 8-9pm




Type 2 diabetes & metabolic syndrome: a new DiRECT paradigm


DiRECT has led to a new understanding of type 2 diabetes as part of the metabolic syndrome, caused by excess body fat accumulation in genetically susceptible people, and reversible by losing 10-15kg. This webinar will explore the evidence and implications for practice.


  • Clinical risks from Type 2 diabetes
  • New understanding of the mechanism behind type 2 diabetes
  • Reversibility of type 2 diabetes, with reduced lifetime total NHS healthcare costs
  • Safety of the programme for blood pressure etc


  • Value of re-coding patients as ‘Diabetes in Remission’ (which still recalls them for annual HbA1c and eye checks)
  • Not all are able to adhere to the current best evidence-based diet programme
  • Remissions are still possible for longer durations, but may require greater weight loss
  • Other diet programmes are being marketed but do not have RCT evidence for remission


  • Advise patients and family carers that most cases of type 2 diabetes are reversible with sufficient weight loss, early enough
  • Access and recommend resources for sustained weight loss and remissions on the www.directclinicaltrial.org.uk website
  • Offer consistent encouragement and support, to optimise programme adherence

Please note, webinars are not intended to be used by non-medically qualified individuals or as a substitute for, or basis for any medical treatment.

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Melissa Mogor

Expert speaker

Professor Mike Lean
Clinical Senior Research Fellow/Honorary Consultant
School of Medicine, Dentistry & Nursing, University of Glasgow

Hospital physician, registered specialist in General Medicine, Diabetes and Endocrinology, and also one of only two UK GMC- registered specialists in Human Nutrition. Professor of Human Nutrition and diabetes researcher, including PI for the Diabetes Remission Clinical Trial (DiRECT). Current H-Index 107.

Adele Hug

Webinar Chair

Douglas Twenefour RD MPHIL PG DIP
Deputy Head of Care, Diabetes UK

Douglas Twenefour is the Deputy Head of Care at Diabetes UK. As a Specialist Dietitian, his specialist interest is in developing evidence-based guidelines. Douglas co-chaired the Diabetes UK 2018 nutrition guidelines for the prevention and management of diabetes. He currently co-chairs the joint Scientific Advisory Committee on Nutrition (SACN)/ Diabetes UK/ NHS working group reviewing the evidence to inform a national position on the use of low carbohydrate diets in people with Type 2 diabetes. He enjoys teaching, and is an Associate Lecturer at the London Metropolitan University. Douglas has also worked with several international Universities and academic institutions as a lecturer, consultant and a researcher.

Tanya Haffner, MD RD Nutrilicious.


This webinar has been CPD approved by the British Dietetic Association (BDA) and the Association for Nutrition (AfN).

Once you have viewed a full recorded webinar the mynutriweb team will review and arrange to send you your certificate via email from hello@mynutriweb.com within two weeks of viewing the webinar.

This webinar has been kindly run in association with Diabetes UK

Diabetes UK

About Diabetes UK
Diabetes UK is the leading UK charity for people affected by diabetes.
Our vision is a world where diabetes can do no harm. Diabetes affects more people than any other serious health condition in the UK.
And we are leading the fight against the most devastating and fastest growing health crisis of our time.
It’s a fight that involves all of us – sharing knowledge and taking diabetes on together.
Diabetes UK have compiled a range of free resources and information for healthcare professionals.
They also provide training and improvement programmes to support everyone working in diabetes care.
For further details click here.

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