The Dietitian Cafe

In our last episode, we spoke to the authors of the recent landmark review paper exploring the dietary strategies for remission of type 2 diabetes. Today’s big dietetic debate forms part two, as we explore whether diabetes remission is realistic outside of research studies and how it can be achieved in clinical practice. For today’s episode, we're delighted to be joined by Alison Barnes and Will Hadfield. Alison Barnes is a diabetes specialist dietitian and lead research dietitian for Newcastle University’s diabetes remission studies, including the DiRECT trial. Alison has spoken about DiRECT and diabetes remission at numerous national and international conferences and has advised NHS England in planning their low-calorie diet pilot programme. She is a Diabetes UK Clinical Champion and sits on the judging panel for the annual QiC Diabetes awards.Will is Clinical Lead Dietitian at Xyla health and wellbeing and is co-founder of WE Nutrition UK. Will’s background as a Diabetes Specialist Dietitian working in the NHS, non-for profit, private sectors and experience in academia support his passion for innovative and evidence-based education enabling long-term behaviour change whilst informing research.In this episode we’ll be discussing whether diabetes remission is realistic for everyone and how it can be incorporated into clinical practice. We’ll also chat to Alison and Will about their roles within diabetes care and the challenges they face when it comes to achieving remission.Show Notes:DiRECT Clinical Trial: https://www.directclinicaltrial.org.uk Will Hadfield: @thatdietitian @wenutritionuk www.wenutrition.co.uk xylahealthandwellbeing.com

Following the recent publication of a landmark review paper exploring the dietary strategies for the remission of type 2 diabetes, we thought it would be great to get some of the researchers themselves together in the Dietitian Café to unpack the research. Harriet is joined by three of the authors of this paper, GP Dr David Unwin and Registered Dietitians Dr Duane Mellor and Dr Adrian Brown.Dr David Unwin is a fellow of the Royal College of General Practitioners. He works at Norwood NHS Surgery in Southport where he has cared for the same population since 1986. To date, 105/206 of his patients with type 2 diabetes who chose a low carb approach have achieved drug-free remission. He’s published research into improving blood pressure, lipid profiles and liver function by reducing dietary carbohydrates, especially sugar. Dr Adrian Brown is a Research Fellow and Lecturer at University College London and a Senior Specialist Weight Management Dietitian with over 15 years of experience. His research centres around obesity, type 2 diabetes, bariatric surgery, weight stigma and use of low energy diets. He is an Honorary Academic at Public Health England and Vice-Chair of the Specialist Obesity Group for the BDA.Dr Duane Mellor is the Aston Medical School lead for Nutrition and Evidence-Based Medicine, and the Associate Dean for Education in the College of Health and Life Sciences. He has a background in clinical dietetics supporting people living with diabetes and moved into medical education when joining Aston University. Duane has maintained his research and practice interest in diabetes care working as a committee member of the BDA’s Diabetes Specialist Group and supporting the development of nutritional management guidelines. In this episode we’ll be unpacking the evidence for the effectiveness of varying dietary strategies at putting type 2 diabetes into remission. We’ll discuss the methodology and findings of this review paper, as well as asking the authors what their thoughts are on current diabetes management and any glaring gaps in clinical training.Show Notes:Dietary strategies for remission of type 2 diabetes: A narrative reviewhttps://onlinelibrary.wiley.com/doi/10.1111/jhn.12938 Renal function in patients following a low carbohydrate diet for type 2 diabetes: a review of the literature and analysis of routine clinical data from a primary care service over 7 years Unwin D, Unwin J, Crocombe D, Delon C, Guess N, Wong C.Twitter Handles:Dr David Unwin: @lowcarbGPDr Adrian Brown: @BrownAdeyDr Duane Mellor: @DrDuaneRD

To mark World Menopause Day, in this interview we’ll be looking at whether nutrition really is that important in the menopause.We're delighted to be joined by specialist menopause dietitian Nigel Denby. Nigel is an award-winning dietitian, with special clinical interests in menopause and women's hormonal health, lifelong weight management, irritable bowel syndrome, pre-menstrual syndrome, polycystic ovary syndrome and cholesterol management. He has 20 years’ experience helping people to eat better, feel better and change their lives through practical and realistic advice. Nigel's professional ethos is simple: No gimmicks, no diet fads and no quick fixes. Just good, evidence based nutritional advice to help you feel better.In this episode, we’ll dig into what the menopause actually is before examining the need for nutrition in the menopause. We’ll explore the role of a dietitian in this area and Nigel will point us towards key research in this field.Show Notes:Website: www.nigeldenbydietitian.co.ukIG: @menopause_dietitian Harley St at Home : MenopauseWebsite : www.harleystathome.com IG @harleystreetathomemenopause The book Nigel refers to: https://www.cambridge.org/st/academic/subjects/medicine/obstetrics-and-gynecology-reproductive-medicine/managing-menopause-2nd-edition

To celebrate Allied Health Professionals Day, in this big dietetic debate, we’ll be discussing the role of dietitians in primary care. Harriet is joined by two registered dietitians Rebecca Gasche and Lisa Ledger. Rebecca has been working as an NHS dietitian for 8 years, with her specialist area being gastroenterology. More recently, she has started to incorporate her skills in Primary Care and is working towards becoming a first contact practitioner. Her role is currently split between leading on the gastroenterology/surgical services at the Countess of Chester Hospital and working in Chester South Primary Care Network, seeing patients in GP practices and developing projects to improve patient care within the primary care network.Lisa is currently a professional lead dietitian in Cornwall and works for a primary care network as a Strategic Manager. She’s been a practicing dietitian for 16 years and has been leading a community team for some time. Lisa has worked with Plymouth University and the British Dietetic Association (BDA) to investigate how Dietitians could work within primary care. She completed a study on frailty and malnutrition in primary care and following this, NHS improvement funded more work in the area.In this episode, we’ll explore the role of dietitians in primary care, discuss the need for these roles and will cover the background which led to the creation of these new roles. We’ll chat to Lisa and Rebecca about their experiences working in this area and hear their tips for any dietitians interested in getting involved.Show Notes:Twitter - @LisaLedger7 and @r_gasche The impact of dietitians in the multidisciplinary practice team within primary care:https://nualtra.com/media/yrmbdfkq/final-report-for-bda_2020.pdfEmail: If you’d like to get in contact with Lisa or Rebecca, please email us at [email protected] and we’ll be happy to connect you

In this Big Dietetic Debate, Harriet is joined by NHS Social Prescriber Isis Ventura-Bermell, who currently works for Castleman Healthcare. She has a BA (Honours) in Philosophy & Psychological Studies as well as previous experience working for the not for profit mental health organisation: Dorset mind and other customer-facing roles in the health and wellbeing industry. Outside of work, Isus is also a qualified yoga teacher. In this episode, we’ll be exploring what social prescribing is and who it’s for. We’ll chat to Isis about the role of the social prescriber, what a typical day looks like and how a social prescriber can help patients in the context of malnutrition and loneliness.Show Notes:NHS collaboration platform: https://future.nhs.uk/socialprescribing/grouphomePersonalised care institute: https://learn.personalisedcareinstitute.org.uk/login/index.phpUK gov site on Social Prescribing: https://www.gov.uk/government/publications/social-prescribing-applying-all-our-health/social-prescribing-applying-all-our-healthNHS site on Social Prescribing: https://www.england.nhs.uk/personalisedcare/social-prescribing/Castleman healthcare site: https://www.castlemanhealthcare.co.uk/social-prescribingInstagram for Castleman healthcare Social Prescribing: https://www.instagram.com/castlemansocialprescribers/

In this episode, Harriet is joined by registered dietitian Fran Allsop. Fran is a Specialist dietitian who qualified in 2019. She is experienced in surgery, critical care and nutritional management of hospital inpatients. Since January 2021, she’s taken on the challenge of developing a dietetic service within the largest male prison in the UK, HMP Berwyn in North Wales. She now independently runs her own dietetic clinic within the prison, providing nutritional input and education for men from all backgrounds with a huge range of complex needs.Fran Instagram: @theprisondietitianFran Twitter: @FranWaldock

In this episode, Harriet is joined by Corrine Toyn to discuss her journey in branching out from clinical dietetics to the food industry. Corrine explains why a dietitian’s unique skill set is an asset to any food establishment, with a focus on HCP marketing. Corrine Toyn is the Healthcare Professions Relations Manager for Benecol in which she oversees the healthcare professional marketing activities for the UK. Corrine utilises the science of plant stanols to help healthcare professionals support their patients with elevated cholesterol. Corrine is a Registered Dietitian and has over 3 years of experience working in the food industry. Following graduating from the University of Surrey, Corrine started her career working for the NHS. She has since worked across medical nutrition and retail, utilising her dietetic insight to identify dietary trends, deliver education and training and bring evidence-based nutrition to the forefront of consumer and healthcare professional communications.Corrine is passionate about raising the profile of dietitians and nutritionists in the food industry. She is also a keen triathlete and is currently training for her third triathlon, using her nutrition background to help fuel her races.Show notes: [email protected]: @corrinenutrition

In this episode, Harriet is joined by registered dietitians Isabella (better known as Isa) Robinson and Katherine Kimber, both of whom are specialists in intuitive eating. We explore the evidence behind intuitive eating, if weight loss can go together with intuitive eating and where to go to learn more about this topic. I hope you find this a really interesting episode and discussion.Isa Robinson is registered associate nutritionist, Nutritional Therapist and certified Intuitive eating counsellor. Isa completed her undergraduate degree at The University of Edinburgh and went onto do her masters in eating disorders and Clinical Nutrition at University College London. Isa has undertaken training in body image, intuitive eating and nutritional psychiatry. Her recent research on the impacts of Eating disorders on caregivers was published in the European Eating Disorders Review in September 2020. Isa is an ambassador for the charity BEAT and also partners with schools. She works in private practice, and her approach fuses evidence-based nutrition science with psychological modalities to help individuals feel empowered around food.Katherine is a Registered Dietitian and Founder of Nude Nutrition on a mission to help people to find food happiness! Katherine offers 1:1 coaching, runs a community and group courses to help people break out of a negative relationship with food. Katherine has completed an extensive amount of formal education and training with a degree in Nutrition and Dietetics from King’s College London, and a distinction in her Masters in Clinical Research. She has an NHS background, a Diploma in Neurolinguistic Programming and is a Certified Intuitive Eating Counsellor.Show Notes:Katherine: Instagram: @nudenutritionrd www.nudenutritionrd.com •Fiona Willer Guidebook for Dietitians - https://www.amazon.com/Non-Diet-Approach-Guidebook-Dietitians-How/dp/B071WJ5M8R•Weight stigma training online - https://balancedviewbc.ca/•Intuitive Eating 4th Edition •Intuitive Eating Workbook•@feelgooddietitian•@mindfuldietitian•Rebecca Puhl paper - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866597/Isa: Intuitive Eating 4th edition book - https://www.amazon.co.uk/Intuitive-Eating-4th-Anti-Diet-Revolutionary/dp/1250255198Workbook - https://www.amazon.co.uk/Intuitive-Eating-Workbook-Principles-Relationship/dp/1626256225HAES weight inclusive health guides for certain conditions - https://haeshealthsheets.com/the-health-sheet-library/Laura Thomas trainings - https://londoncentreforintuitiveeating.co.uk/Papers: https://www.hindawi.com/journals/jobe/2014/983495/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386524/https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-018-1116-5Become a certified IE counsellor - https://www.intuitiveeating.org/about-us/how-to-become-a-certified-intuitive-eating-counselor-or-lay-facilitator/https://isarobinsonnutrition.co.uk/https://www.instagram.com/isarobinson_nutrition/50 Shades of Food and Nutrition podcast: https://podcasts.apple.com/gb/podcast/50-shades-of-food-nutrition/id1562734372

In this episode, we will be discussing the ‘Role of a dietitian in the charitable sector’. To tie in with the British Heart Foundation’s (BHF) 60th birthday, we're delighted to be joined by registered dietitian Victoria Taylor. Victoria is a registered dietitian with over 20 years of experience working in health and charity sectors. She has a master’s degree in food policy and PGCert in Sports Nutrition. Before joining the BHF, she worked for the NHS, first in a hospital and then in public health where her work included advising on school meals, community food projects and weight management programmes to improve people’s health. Victoria joined the BHF in 2007 where she now provides expert advice on diet and the links with cardiovascular disease and helps with the development of a range of food and nutrition resources for the charity. She also acts as a spokesperson on all aspects of food and cardiovascular disease.In this episode, we explore what it’s like to work as a dietitian in the charity sector. We’ll discuss how Victoria began working for the BHF and how she contributes to influencing the dietary habits of the population. Victoria also shares her advice for dietitians wanting to pursue working in the charity sector.British Heart Foundation Website: https://www.bhf.org.uk/

In this big dietetic debate, we will be focusing on ‘Growing your Online Presence as a Healthcare Professional’ and discussing whether dietitians should start thinking bigger than just clinical practice. Harriet is joined by registered dietitian and founder of Dietitian Boss ™, Libby Rothschild. As a social media marketing expert, Libby's work shows dietitians from around the world how to go from zero to creating a six figure virtual practice using social media strategies that work. As a former clinical dietitian, Libby understands the pains associated with working a 9-5 with limited pay and respect. She transformed from making 55k a year in her windowless clinical office to building a million-dollar business within 15 months of going full time. In this episode, we’ll be hearing how Libby started and built her own business from the ground up. Libby discusses the challenges she faced starting her business and brings us her top tips for healthcare professionals wanting to grow or start their own business. We hope you find this a really interesting episode and discussion.Show Notes:Learn about my client success stories: https://libbyrothschild.com/testimonials/Let's connect: IG: https://bit.ly/DietitianBossInsta Podcast: http://bit.ly/DietitianBossPodcast Website: https://libbyrothschild.com/Facebook: https://bit.ly/DietitianBossFB #RD2B Podcast Host Application:https://nualtra.com/media/unmhi3wr/podcast_rd2b_host_advert.pdf