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X-PERT patient education for Type 2

X-PERT is a validated 6-session course of 2.5 hours each, spread over 6 weeks, for people with Type 2 diabetes. Please offer the course to all new patients and any old patient who requests it or who you might think will benefit. Despite the length of the course, it can really empower patients to take control of their condition: 'knowledge is power'! Feedback from patients who have attended is very positive and most patients complete the course. You can find more about it at the course website:

The referral forms are available on DXS. You need to complete all of the data areas.

XPert Type 2 Patient Educations
What are we advising our patients attending the Xpert programme?

During the 6 week Xpert programme, different dietary approaches are shared with patient’s that may help them to lose weight and improve their blood sugar levels. The approaches are not suitable for all patients and care needs to be taken, if the patient choses to follow them.

Recently there has been a lot of media attention on whether we should stop promoting carbohydrate and promote fat in the diets of people with type 2 diabetes, which is confusing our patients.

Diabetes UK has not changed their advice and state ‘It is important to include some carbohydrate as part of a healthy balanced diet for all people with diabetes.’ With regards to saturated fat, they report ‘There is no evidence suggesting that an increase in saturated fatty acid intake is beneficial in reducing risk of CVD.’

Diabetes UK dietary recommendations are as follows:

  1. When considering a low-carbohydrate diet as an option for weight loss, people with diabetes should be made aware of possible side effects such as the risk of hypoglycaemia, headaches, lack of concentration, and constipation.
  2. Individual diabetes control should be considered – blood glucose levels need to be closely monitored, with adjustments to medications as required.
  3. Nutritional adequacy should be considered. It should be ensured that optimal amounts of vitamins, minerals and fibre are supplied by the diet.
  4. Replacement of SFA with unsaturated fats (PUFA or MUFA) should be recommended as part of a healthy overall diet, acknowledging that it is more important to focus on eating beneficial healthy fats.