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Can Meal Replacement Shakes Help Reverse Type 2 Diabetes?

How Meal Replacement Shakes & Soups Can Help Manage Type 2 Diabetes
Author: 
 KeeDiet Support Team
 Published:  
March 31, 2025

The NHS now recommends a 'soups and shakes' diet for Type 2 diabetes remission. Here's the science behind it — and how KeeDiet's Fast Fix Plan can support your journey.

NHS-Recognised Approach | UK-Based Since 2008 | DiRECT Study Principles


What Does the Science Actually Say?

Three major findings have changed how doctors think about Type 2 diabetes.

The DiRECT Trial — Diabetes UK & Newcastle University

Led by Professor Roy Taylor, this landmark study showed that a very low calorie diet (VLCD) of around 800 calories per day — using meal replacements — helped over 50% of participants achieve remission from Type 2 diabetes within 12 months. Some participants came off all diabetes medication entirely.

The NHS Type 2 Diabetes Path to Remission Programme

Following the DiRECT trial results, NHS England launched its own national 'soups and shakes' programme — a structured 12-week total diet replacement plan — for eligible patients with Type 2 diabetes. It is now offered across many GP surgeries and NHS trusts in the UK.

Why Weight Loss Matters for Remission

Research shows that losing 10–15% of body weight can dramatically improve insulin sensitivity and blood sugar control. For some people, sufficient weight loss allows the pancreas to recover enough function to bring blood glucose back into a normal range — the definition of remission.


The NHS Now Recommends This Approach

This is no longer fringe nutrition advice — it's mainstream NHS policy.

NHS England's official programme uses the same total food replacement approach — meal replacement shakes, soups and bars — that KeeDiet has been providing since 2008. Eligible patients are referred directly by their GP. If your GP hasn't mentioned this programme, you can ask them about it directly.


Why Meal Replacements Support Type 2 Diabetes Management

There are four clinically-relevant reasons meal replacement shakes are used in diabetes programmes.

Precise Calorie Control

Each KeeDiet shake, soup or bar contains a known, fixed calorie count — removing the guesswork from dieting and making it straightforward to maintain the calorie deficit required by VLCD programmes.

Low Glycaemic Index

KeeDiet products are formulated with low-GI carbohydrates that release glucose slowly into the bloodstream — helping to prevent the blood sugar spikes that are particularly harmful for people with Type 2 diabetes.

High Protein — Muscle Sparing

During calorie restriction the body can break down muscle for energy. KeeDiet's high-protein formula helps preserve lean muscle mass during rapid weight loss, keeping you strong and metabolically active throughout your plan.

100% Daily Vitamins & Minerals

Four KeeDiet products per day provide 100% of your recommended daily intake of essential vitamins and minerals — so even on a very low calorie plan, your nutritional needs are completely met.


The Fast Fix Plan — Built Around the DiRECT Principles

KeeDiet's Fast Fix Plan is our closest equivalent to the NHS soups and shakes programme. It includes:

  • 3 KeeDiet meal replacement products per day (mixed with milk)
  • 3 portions of low-GI vegetables or salad daily
  • Approximately 800 calories per day
  • Suitable for those with BMI 30+ and/or Type 2 diabetes
  • 100% daily vitamins and minerals from 4 daily products
  • No artificial sweeteners or added sugars
  • UK customer support team — always available

View the Fast Fix Plan


Frequently Asked Questions

Can meal replacement shakes cure Type 2 diabetes?

No — meal replacements cannot cure diabetes. However, clinical evidence from the DiRECT trial shows that a structured very low calorie diet using meal replacements can lead to remission in some individuals, meaning blood glucose returns to normal levels without medication. Results vary and are not guaranteed for everyone.

Do I need to speak to my doctor before starting?

Yes, absolutely. If you have Type 2 diabetes and are taking medication — particularly insulin or sulphonylureas — starting a very low calorie diet requires medical supervision as your medication doses may need to be adjusted as you lose weight. Always consult your GP or diabetes nurse before starting.

How long does the Fast Fix plan take?

The NHS DiRECT-inspired programme runs for approximately 12 weeks of total food replacement, followed by a structured reintroduction of regular foods. KeeDiet's Fast Fix plan follows the same phased approach — your timeline can be discussed with our customer support team.

Are KeeDiet products suitable for diabetics?

KeeDiet products are low-GI, high-protein, and contain no artificial sweeteners or added sugars — making them well-suited for people managing Type 2 diabetes as part of a medically-supervised plan. However, always discuss suitability with your GP or diabetes nurse first.

What's the difference between management and remission?

Managing diabetes means keeping blood glucose within acceptable levels, often with medication. Remission means blood glucose returns to normal levels without the need for diabetes medication — sustained for at least 3 months. The DiRECT trial showed meal replacement-based VLCDs can achieve remission in eligible patients.


Medical Disclaimer

The information on this page is intended for educational purposes only and does not constitute medical advice. KeeDiet products are listed as a potential alternative supplier for those following the Newcastle Diet Study principles. KeeDiet is not endorsed by Newcastle University and does not claim that its products will guarantee reversal of Type 2 diabetes. Always consult your GP, diabetes nurse, or qualified healthcare professional before starting any weight loss programme, particularly if you are taking medication for diabetes.


Clinical References

  1. Lean, M.E.J., et al. (2018). Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. The Lancet, 391(10120), 541–551.
  2. NHS England (2020). NHS soup and shake diet helps hundreds put type 2 diabetes into remission. england.nhs.uk
  3. Taylor, R. (2013). Type 2 diabetes: etiology and reversibility. Diabetes Care, 36(4), 1047–1055.

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