Intensive weight management delivered within a primary care setting as an intervention for achieving remission of type 2 diabetes has been assessed in a randomised trial.1 The premise of the intervention was that people with type 2 diabetes can be returned to normal glucose control by calorie restriction.

The open-label, cluster-randomised trial was conducted at 49 primary care practices in Scotland and northern England. Practices were randomly assigned to provide either a weight management programme (intervention) or best-practice care by guidelines (control). The co-primary outcomes were a reduction in weight of ≥15kg and remission of diabetes, defined as HbA_1c <6.5% …