What Could Cause Continuous Weight Loss Even After Discontinuing My Diet Plan To Reduce My Blood Sugar Levels?

Posted on Tue, 29 May 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 29 May 2018 Answered on

Tue, 12 Mar 2024 Last reviewed on

Question : Hi i am 45 years old male i have high blood pressure and predisbetes and also 3 stents for heart , otherwise nothing serious i know about , recently and for the last year I stopped eating carbs and sugar to control my blood sugars level so i lost around 6 kgs and then i start eating moderate but i kept loosing weight,normally i always stragguled to lose weight but now seems that i am loosing too much weight even after I stopped the diet , last month alone i lost another 5 kgs , I was 95 kgs 6 months back and now 84kgs i feel also tired , CBC results are always normal , what can this be

Answered by Dr. V. N. S. Parinam (24 minutes later)

Brief Answer:
Assess medications and check nutritional status first

Detailed Answer:
Hi,

If someone has unintentional weight loss more than 5% in 6 months I really get worried and order all the possible investigations to find the root cause of the problem.
IN your case first we need to assess all the medications and find if they are the cause of weight loss especially in diabetes. Second the weight loss could be due to malnutrition. If you stopped eating carbs then you tend to have ill balanced nutrition devoid of certain minerals. We also need to check if the weight loss is due to fat loss (body fat index) or muscle loss. So get the Total body fat now and after one more month. A dietitian can help understand this.
Let your doctor know about this weight loss and get the following tests apart from regular CBC: Thyroid profile, Liver function, Kidney function, HbA1c, FBS, Serum Protein.
Let me know these values

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. V. N. S. Parinam (9 minutes later)

Hi my HBA1C is 6.4 last month
Lever and kidney function are normal also done 2weeks back
Thyroid normal

I also dont take bs medicine i manage through diet alone

Answered by Dr. V. N. S. Parinam (18 minutes later)

Brief Answer:
Malnutrition

Detailed Answer:
ok that is good but not done yet. Check for ketone bodies and serum electrolytes in the blood, if the ketones are high that means your body is still using fats for its energy requirements leading to more weight loss. Check the body fat now and after one more month. Generally it is easy for the body to use carbs for energy requirements if there is no carbs then it uses fat.
Calcium and Magnesium may be excreted out during low carb or no carb diet. If there is acidic environment that it is a reason for concern.
I still suggest to Probably meet a dietitian.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. V. N. S. Parinam (3 minutes later)

so its a matter of diet rather than something like tumors or cancers , i read that weight loss can be a sign of cancer

Answered by Dr. V. N. S. Parinam (5 minutes later)

Brief Answer:
Weight loss and cancer

Detailed Answer:
Weight loss can be because of cancer as well.
Here you have more commoner and clear pointers like diabetes, drugs and diet related reasons more than cancer.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar