Q. How to get the glucose and lipid readings back to normal while doing LCHF diet?

Answered by
Dr. Deep Dutta
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 10, 2017

Hello doctor,

I am a 54 year old male, and I do not smoke or drink. I am prediabetic and overweight from the past five years. I have started LCHF (low carb high fat) and IF (intermediate fasting) diet for seven weeks. This has given very good results, I was 100 kg, and now I weigh 90 kg. And my blood pressure is also back to normal. I feel highly energetic. Today, on getting myself tested for blood glucose and lipid profile, I got very strange results. My fasting glucose is 86 mg/dL, postprandial glucose is 152 mg/dL, total cholesterol is 210, triglycerides is 112, HDL is 34, LDL is 175, VLDL is 22.4, total cholesterol/HDL ratio is 6.2. Though these readings look very strange and abnormal, I am feeling very fit and energetic after changing over to LCHF diet and intermediate fasting. How to get the glucose and lipid readings in the normal range while continuing the new diet? I was feeling lazy from the last four years, which was rectified with the new diet and fasting.

Dr. Deep Dutta

Endocrinology General Medicine Internal Medicine


Welcome to icliniq.com.

  • LCHF diet is a good short-term option for weight loss. But it is not a good option for long-term weight loss. Prolonged use of this diet is associated with increased risk of hypercholesterolemia and fatty liver disease, which limits their long-term use.
  • Based on your metabolic profile, I suggest you start taking the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent.
  1. Tablet Glucomin Plus (Metformin and Glibenclamide) 500 mg, one tablet after dinner. It will control prediabetes and prevent diabetes.
  2. Tablet Atocor (Atorvastatin) 20 mg, one tablet after dinner to control your hypercholesterolemia.
  • I suggest you get the following test done:
  1. Repeat lipid profile after three months.
  2. Fasting and postprandial glucose monthly.
  3. HbA1C, once in three months.
  4. Ultrasonography of the abdomen, to rule out the fatty liver disease.
  5. Serum 25-hydroxy vitamin D.
  • Review with reports.

Revert with more information to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist

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