Ask Dr. Andreas Eenfeldt about LCHF, diabetes and weight loss

Andreas Eenfeldt

Are you starting with LCHF and have questions about the lifestyle? On the member site you can ask Dr. Andreas Eenfeldt, the founder of Diet Doctor.

Here are a few recently answered questions:

Diabetes type 2, LCHF and medications

Hi Dr. Andreas,
I was diagnosed with T2 Diabetes during thanksgiving week 2015. The very first thing my primary care Dr. was put me on Janumet 2 pills daily.

I immediately change to a LCHF diet and I now make it a point to cook my own food for the most part. I also try to make it to the gym at least 4 times a week (combo of weights and cardio), or if I can’t make it to the gym I do a thirty minute walk. As of yesterday I making it a point to stop eating at 7 pm and not to eat again until after 9 am.

When I last saw my PCP I asked him if we could reduce the dosage he was like we have to stabilized your blood sugar. If you stop you could have a heart attack is what he told me. I’m going back to have my labs in Feb 15, do you have any advice on how I can get him to set me free from this drug?


If your labs turn out great – which they could, considering the great things you’re doing – it may be reasonable to try to stop the drug and do another test in a few months. Discuss it with your doctor – I doubt he’ll have any objections if your blood sugar is great.


How much fat?

Natural foods with under 5% carbs are recommended under LCHF, a moderate amount of fatty protein and an implied sizeable amount of leafy green and above-ground veggies, say 6-7 cups, and added fat. The amount of fat is supposed to make up 60-80% of our daily food intake. I find it hard to see, even with intentional added fatty foods such as butter, good oils, yoghurt, animal fats, cheese, nuts, etc, that fat content would get close to this level. Am I missing something? How can we be sure we are consuming the requisite level of fat? Your advice, clarification would be appreciated. Thanks Andreas.


The percentages refers to energy percent. Pure fat contains 9 calories per gram, veggies close to 0 calories per gram. So no need to eat huge amounts of fat as it is very energy dense, just add all you need to feel satisfied and not hungry.


Digestive issues

I am convinced that LCHF is the way to go for me as in ketosis I feel so much better. However I have been diagnosed with diverticulosis, coeliac disease, and gall bladder disease. I am finding that when I eat high fat be it bacon and eggs or a creamy sauce or coconut milk or even fish oil capsules I get diarrhoea very quickly. Thinking this is gall bladder not coping but not sure. Feeling frustrated that as I try to resolve one chronic condition I muck up the other!

My weight loss had stalled but started up again once I got the macros right (had been too low in fat) but now have reduced fat again so I can get on with the rest of my life, weight loss stalled again. With 20g carbs, 79g protein, my fat is to be between 96 and 126g. Been in ketosis since early September 2015. Any suggestions?


Diarrhea is not that uncommon when starting out on a higher fat diet. It tends to get better and disappear within days, weeks or, worst case, months.

I’d suggest eating smaller servings of fat but more often at first, if it’s a big problem. That should minimize it while the body adapts.


More Questions and Answers

Many more questions and answers:

Low-Carb Q&A

Read all earlier questions and answers – and ask your own! – here:

Ask Dr. Andreas Eenfeldt about LCHF, Diabetes and Weight Loss – for members (free trial available)

More About LCHF and Diabetes

How to eat LCHF
The 5 common mistakes on LCHF
Diet & Diabetes – How to Normalize Your Blood Sugar
The Top 5 Tips For Weight Loss


  1. 1 comment removed
  2. Sharon
    Hi there, I'm half way through the 2 week challenge. It been tough on my digestive system and since my gall bladder was removed in 2004 I've almost always eaten "low fat" so this is a major change. My question is: can I do this diet without a gall bladder?? (As you know , that usually breaks down fat. Thanks Sharon
  3. Peter Biörck Team Diet Doctor
    Hi Sharon!

    You can find more reading here:

  4. Judith
    What is your opinion of the Zero Carb diet by Charles Washington? I have stopped losing weight and although doing "strict lc" (7 months now). I lost 23 lbs. the first 6 weeks. Have about another 20 to lose. My blood glucose is still running about 135 average. My doctor said I need to exercise YUK!!! Dr. Fung said to fast, I tried fasting, eating only 1 meal per day. Didn't work. I read that some people cannot tolerate any carbs.
  5. 1 comment removed
  6. Louise Jenkins
    I’m on this keto diet for weight loss. I’ve been on this diet for about 7 weeks and have lost 10 lbs. I’d like to lose 10 more. I’m feeling really tired and don’t have much energy. I was feeling good in the mornings but now am sluggish. I’ve tried the bouillon. Could I be getting too much fat? Should I try exercise?
    Could it be my hormones? I’m 53.
    Thank you,
    Louise Jenkins
  7. Amanda
    I started keto on 16 june and just tested my ketone at 2.7 and glouse 4.6 and yet i hv not lose any fat and also my fat level shot up sometimes. What is going on and how to make it burn more fat pls tq
  8. Heather Vickery
    Heather I am doing the Keto Diet, have lost about 20lbs but I have hit a plateau and can not get past it
    Has anyone else had a plateau I would love to know what to next.
    I love this diet thanks to Diet Doctor for all the lovely recipes have tried a lot and loved them.
    If anyone can help I would appreciate it.
  9. Hubert
    Hi Doctors,

    I have watched some videos on cholesterol and high blood pressure. However, no one has explained the effect of gene theory on cholesterol and high blood pressure. In particular, can someone educate me on homozygous and heterozygous cholesterol? Has does differ from normal high cholesterol? Thank you for your help.

    Reply: #11
  10. Hubert
    Sorry, what I mean homozygous hypercholesterolemia and heterozygous hypercholesterolemia.
  11. Dr. Bret Scher, MD Team Diet Doctor
    Hi Hubert. Thanks for your question. Familial Hypercholesterolemia, or FH, is a genetic condition someone is born with where the LDL particles are not removed well from circulation. It can be because of a faulty LDL receptor or a faulty ApoB particle on the LDL itself, but either way the LDL particles stay in circulation much longer and are not removed. Homozygous FH means both genes are abnormal. These individuals suffer from severely increased LDL, in the 500s, and frequently die at a young age from heart disease. Heterozygous means only 1 of the 2 genes is abnormal, and their elevations of LDL are usually in the 200 range. They also have an increased risk of heart disease at a young age (30s and 40s) but not nearly as high as homozygous. In addition, their overall longevity may not be any different than the general population, and the factors that correlate with heart disease tend to be smoking, high blood pressure, Lp(a), but much less associated with absolute LDL elevation. That's the quick summary. I hope that helped! Bret Scher MD FACC MedicalDirector

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