Intended for healthcare professionals

Rapid response to:

Feature Type 2 Diabetes

Low calorie and low carb diets for weight loss in primary care

BMJ 2018; 360 doi: https://doi.org/10.1136/bmj.k1122 (Published 13 March 2018) Cite this as: BMJ 2018;360:k1122

Rapid Response:

Re: Low calorie and low carb diets for weight loss in primary care

The DiRECT triallists deserve praise for inspiring weight losses comparable to those following bariatric surgery. However, the results are "proof of concept" and not necessarily relevant to real life. The article states that, in the first year of the trial, patients in the low calorie group had between 19 and 31 appointments. While this may be possible in a specially funded study, I cannot see it being feasible in an usually under funded general practice or a hospital unit.

Competing interests: No competing interests

19 March 2018
Richard J Jarrett
Retired. Emeritus Professsor of Clinical Epidemiology
none
London