Ray Kelly and his Programs

 

About Ray

Ray Kelly

B.A. (Exercise Science) AEP MTeach

 

Ray is a proud Kamilaroi man and is one of Australia’s leading health professionals, with more than 26-years experience in health and sport. He is an Accredited Exercise Physiologist, has a Masters in Teaching, and is working toward a PhD on Long Term Weight Loss and Remission in Type 2 Diabetes.

You might recognise Ray from The Biggest Loser Australia, where he was an external trainer in the first two seasons. The two contestants he trained both won in consecutive years (Adro Sarnelli, 2006; Chris Garling, 2007). Following the show’s success, Ray went on to author Winners Do What Losers Don’t and Full Plate, Less Weight.

Ray travels the world attending the major obesity and chronic disease conferences and provides education seminars for doctors, nurses, personal trainers, and other health professionals. He has a high level interest in Indigenous chronic disease and runs a number of weight loss clinics that focus on improving diabetes and heart disease. The goal is to have his diabetic patients lose weight, reduce medications, and lower their HbA1c under 7, something that happens with the majority of patients.

Athlete development has been another area of interest for Ray, he has worked within Institute of Sport programs preparing athletes for the World Championships and two Olympics as well as lectured in the Level 1 and 2 coaching courses. Additionally, Ray has worked with Australia’s top professional boxers, including World Champions such as Anthony Mundine, Daniel Geale, Michael Katsidis, Chris John, Will Tomlinson, and Lenny Zappavigna. Again, you might have seen him on Fox8’s boxing reality TV show The Contender.

        

Our Program

Our program lasts for 10 weeks and during that time the participants receive a meal plan, exercise program, education and motivation. Within our clinical program participants achieve weight loss between 12-17kg within the 10 weeks (goal of 10% starting body weight) and learn the skills to maintain that loss.

The program isn’t all about type 2 diabetes either. We cater for all weight related issues such as high blood pressure, high cholesterol, PCOS and more.

Local Contribution

Whilst our program is research based and proven to work within community, it does so because we work in with those who understand the local issues and these adjustments are made to the program. Our goal is to have the individual and the community self-manage for the future so it is imperative that they have input into the program. In addition, Ray will contact local food providers and seek a discount for program participants as well as highlight local shopping strategies that bring the cost of fresh foods down. He will also visit local areas where exercise can be completed and shoot videos of specific workouts that can be done at not cost.

 

Outcomes Targeted

Whilst lowering their HbA1c will be our primary goal, there are a range of other indicators of success:

  • HbA1c <7% – Research has shown that current programs achieve this in less than 50% of patients. We will aim to achieve this in at least 75% of patients.
  • Weight loss of >10% initial body weight
  • Systolic blood pressure <140 and diastolic blood pressure <95
  • Reduction in medications
  • Education of patients to enhance self-management

 

Past Programs

An example of the program’s success was seen in our Arnott’s program. Over 10 weeks we provided a weekly 15-minute consultation for 53 employees. In that time they lost a total of 643kg, at an average of 12% weight loss. These participants were from a wide range of cultures and had to overcome a range of obstacles including having English as a second language, completing shift work, and of course having biscuits available everywhere. We returned 6 months later to measure the participants ability to maintain the loss and the average loss was still within 600 grams of their end of program weight. Many saw a reduction in medications and of the 37 who had high blood pressure during initial screening, only 5 still had high blood pressure by the completion of week 10.

More recently we have provided a program for the AFL club, the GWS Giants. Thirty of their fans followed the program for 12 weeks and lost a total of 461kg, at an average of 15.3kg each (14.2% of their starting body weight).

 

You really have to see the results to believe it, so here are a few profiles:

 

             

 

Profile 1: Narelle

Reason for inclusion in presentation: Long-term insulin dependent diabetic requiring multiple injections per day. Doses reduced dramatically within 14 days with sensational outcome measures.

Weight when commence program: 85.7kg

Current weight: 72.2kg (13.5kg or 15.8% in 10 wks)

Medications at start of program: Lantus (65 units at night; Novorapid 16-18 units before each meal; Xigduo XR 5/1000)

Medications now: Lantus (12 units at night; Novorapid 10, 2, 2 units before each meal; Xigduo XR 5/1000)

Any reductions in blood pressure medications, Nexium etc? N/A

Last HbA1c: Waiting on results

Last fasting blood sugars done at home (if still taking them)? 4.5

 

Profile 2: Tom

Reason for inclusion in presentation: High risk patient on many medications and GP had grave concerns for his life. Lost 50kg and achieved remission whilst still drinking 1 bottle of red wine each day!

Weight when commence program: 162kg

Current weight: 120kg (Lost 50kg in 6 months and kept it off for 6 years so far)

Medications at start of program: Insulin; Diabex; Diamicron; 2 different hypertensives; Fluid tablets

Medications now: Diabex 1/day; Hypertensive 1/day

Any reductions in blood pressure medications, Nexium etc? Yes

Last HbA1c: 5.8

GP confirmed in remission? Yes

 

Profile 3: Kim

Reason for inclusion in presentation: Long-term insulin dependent diabetic without close access to medical support. Never believed she could do well but has turned diabetes around within weeks, even though was not strict on exercise and meal plan.

Weight when commenced program: 107kg

Current weight: 100kg

Medications you were on: Insulin (60 units); Novorapid (20 units before each meal); Metformin

Medications now: Insulin (60 units); Novorapid (removed lunch time injection); Metformin

Last HbA1c: 6.7 (down from 7.5)

Last fasting blood sugars done at home (if still taking them)? 5.4

 

Profile 4: Ian

Reason for inclusion in presentation: Strong family history of insulin dependent diabetes and was close to having it introduced. Has lost weight and achieved remission

Weight when commence program: 117.7

Current weight: 96.2 (lost 22kg in 10 weeks and has kept it off for 16 months)

Medications at start of program: Metformin 2/day; Hypertensive 10mg/day

Medications now: Metformin 1/day; Hypertensive 2.5mg/day

Any reductions in blood pressure medications, Nexium etc? Yes

Last HbA1c: 5.6

Last fasting blood sugars done at home (if still taking them)? 4.8

GP confirmed in remission? Yes

 

 

Profile 5: Jason

Reason for inclusion in presentation: Strong family history of insulin dependent diabetes and although exercised regularly was close to going on to insulin. Has since achieved remission

Weight when diagnosed with Diabetes: 150kg

Current weight: 100kg

Medications at start of program: Metformin 3 x 1000mgs/day; Perindopil 8mg 1/day;

Medications now: Metformin 500mg 1/day

Any reductions in blood pressure medications, Nexium etc? Yes

Last HbA1c: 5.5

Last fasting blood sugars done at home (if still taking them)? 5.3

GP confirmed in remission? Yes

 

Profile 6: Kevin

Reason for inclusion in presentation: Long term insulin dependent diabetic who didn’t believe his doses could be reduced within a short period. Within week has lost weight and reduced doses by 1/3

Weight when commence program: 145kg

Current weight: 135.5kg (6 weeks into program)

Medications at start of program: Lantus (22 in morning; 80 at night); Novorapid (38 units before each meal)

Medications now: Lantus (22 in morning; 58 at night); Novorapid 22, 20, 20 units before each meal)

Last fasting blood sugars done at home (if still taking them)? 4.8

 

Profile 7: Richie

Reason for inclusion in presentation: Strong family history but achieved remission

Weight when diagnosed with Diabetes: 130kg

Current weight: 103kg

Medications at start of program: Metformin 2000mg 4/day; Hypertensives; Cholesterol

Medications now: Metformin 500mg 2/day

Any reductions in blood pressure medications, Nexium etc? Yes

Last HbA1c: 6.2

 

 

Profile 8: Craig

Reason for inclusion in presentation: Recently diagnosed (2 years) and active but HbA1c was only increasing. This reduced within 10 weeks.

Weight when diagnosed with Diabetes: 95kg

Current weight: 88.4kg

Medications at start of program: Metformin 1/day; 5mg Perindopril 1 x day

Medications now: Metformin 1/day; 5mg Perindopril 1 x day

Last HbA1c: 6.1 (first time reduced since being diagnosed)

Last fasting blood sugars done at home (if still taking them)? 5.4

 

 

Profile 9: Trina

Reason for inclusion in presentation: Wasn’t carrying much weight but after losing just 6kg achieved remission

Weight when diagnosed with Diabetes: 85kg

Current weight: 69.3kg

Medications at start of program: Liraglutide (3 injections per day); Metformin 4/day; Hypertensives; Cholesterol

Medications now: All medications removed

Any reductions in blood pressure medications, Nexium etc? Yes

Last HbA1c: 5.5

Last fasting blood sugars done at home (if still taking them)? 4.6

GP confirmed in remission: Yes

 

Profile 10: Chris

Reason for inclusion in presentation: Recently retired football player with strong family history. Recent HbA1c was 11 but within weeks of starting the program he had lost 8kg and fasting blood sugars are 4.9.

Weight when diagnosed with Diabetes: 95kg

Current weight: 86.2kg (4 weeks into program)

Medications at start of program: Metformin 4/day; Diamicron

Medications now: Metformin 3/day

Last HbA1c: 6.5

Last fasting blood sugars done at home (if still taking them)? 4.9