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- Page navigation anchor for Surely an opportunity if we get it right!Surely an opportunity if we get it right!I read with frustration the findings that “Let’s Prevent” and the DPP fail to show any statistically significant reduction in progression to Type 2 diabetes compared with normal care. Yet on looking into the lifestyle intervention offered for the DPP I am not surprised. Again the advice given is to follow PHE dietary advice - maintain a low fat diet, yet surely we all know the problem in diabetes and pre-diabetes is a problem with carbohydrate metabolism. Is it not about time we start to see a widespread roll out of low carbohydrate, higher fat diets? Just one example, my mother, her HbA1C fell from 48 to 38 following a moderately low carbohydrate diet for 3 months. Fat is not the problem in diabetes, carbohydrate is. See Diabetes UK discussion forums of patients discovering this for themselves - often with no help or contrary advice from their medical team. Diabetes and pre-diabetes is a frequently reversible condition of abnormal carbohydrate metabolism. Carbohydrate drives insulin secretion. If we advise patients to reduce carbohydrate (not fat) in their diet the problem often resolves.Competing Interests: None declared.