From 500ml of soft drinks a day, to regular walking, to changing your diet: a doctor shares the incredible journey of transformation of a diabetic patient


Diet changes and regular walking helped a 30-year-old man reduce extremely high triglyceride levels. Although we have all always been told to pay attention to diet and exercise, this is a glaring example of that.

Diabetologist Dr Rahul Baxi shared an extremely interesting case on the microblogging platform Twitter.

On October 19, Dr Baxi had shared the lipid profile of a 30-year-old man who had just been diagnosed with Diabetes, then. The lipid ratio showed that the person’s triglyceride level was 3352.4, several times higher than the normal and acceptable level of triglycerides in the body. While overall cholesterol was 440.7, more than double the desirable range, levels of low-density lipoprotein, or LDL, and high-density lipoprotein, or HDL, were lower.

Read: Study reveals role of iron in chronic heart failure in 50% of heart attack survivors

500 ml of cold drink per day!
It was the patient’s diet that caught the attention of Internet users. He consumed 500 ml of cold drinks every day; and it was more than that if someone else was with him.

“30 years, Mr.

Newly diagnosed diabetes

Breakfast – orders dosa or medu vada or vada pav

Lunch and dinner – “I like Chinese food, always from outside. I also like Thums Up”

“How much, 300ml?”

“No, 500 ml or 1 L if someone is with me”

Meanwhile TG levels,” Dr Baxi tweeted.

The Twitter feed started by Dr Baxi has been an open and active place of engagement for doctors, experts and others ever since.

Blood glucose range
To a comment asking for the patient’s FBS, PP2BS and HbA1C, Dr. Baxi answered 320, 400 and 15.7% respectively.

For those who are already familiar with diabetes and blood sugar, this seems like a serious case.

FBS or Fasting Blood Sugar is considered normal when it is 99 mg/dL or less.

PP2BS or normal postprandial blood sugar level is less than 140 mg/dL.

HbA1C or average blood sugar for 2-3 months should be below 5.7%.

High triglycerides and low LDL
Several Twitter users pointed to the patient’s extremely high triglyceride levels and low LDL levels.

“Sir. Very high TG! This appears to be familial combined hypertriglyceridemia. They have high TG levels and high very low density lipoprotein (VLDL) levels. However, LDL cholesterol and HDL cholesterol are often low. A diet high in carbohydrates and alcohol consumption can aggravate the situation,” says Dr. Sandeep Rai.

Enough expected. But the LDL seems to be falsely low, right? Typical case of full fledged metabolic syndrome due to lifestyle, an ongoing pandemic, tweets Dr Bhaumik Kamdar.

Are triglycerides important?
Yes! Much of the general knowledge about cholesterol is that higher levels of LDL are bad.

Triglycerides play an important role in the body. Large amounts of these lipids harden the arteries, increasing the risk of stroke, heart attack, and heart disease.

Extreme levels of triglycerides, as seen in this case, lead to acute inflammation of the pancreas leading to a condition called pancreatitis.

The complications associated with triglycerides make it a potential health marker.

Why was he recommended to take tests?
The patient suffered from fatigue, nocturia and polydipsia due to which his doctor asked him to take the test, says Dr. Baxi.

Nocturia is a condition that wakes the patient up more often to urinate; this is commonly seen in older people and also in people with diabetes.

Polydipsia is a condition of extreme thirst.

But why the lipid test, when he was recommended to do a blood sugar test?
To this question posed by a Twitter user, Dr. Baxi gives a pervasive answer that doctors hear regularly.

“Good question, his family doctor had only asked him for HbA1c and glucose levels because he suffered from fatigue, nocturia and polydipsia. He said: “fir maine socha ki poora package hi kara leta hoon lab se”

However, it saved him as he was able to get a proper diagnosis in time.

Is it reversible?
Three days after tweeting the report, Dr. Baxi had shared another screenshot of the October 20 lipid test, in which the person’s triglyceride is 1378 mg/dL, down more than 2000 units.

“TG down a few thousand with 3 days of dietary modifications and meds,” Dr. Baxi tweeted. The patient was put on fibrate and saroglitazar apart from dietary changes.

On November 3, nearly 15 days later, Dr. Baxi shared another lipid test report in which the triglyceride level had dropped further to 315mg/DL. The normal range of triglycerides is below 150 units. “And now repeated, down a thousand more. Made significant dietary changes and started walking regularly. Glucose levels have also improved,” Dr Baxi tweeted.

And he also gave up cola!

Check the full tweet here:

Here are some common questions related to diabetes and cholesterol

  1. What are the common tests for diabetes?
    Common tests recommended by doctors for diabetes are fasting blood glucose, glucose tolerance test, random blood glucose test, glucose screening test, and HbA1C.
  2. What is the normal fasting blood glucose range?
    A fasting blood glucose level below 90mg/dL is considered normal. The level between 100 and 125 mg/dL is considered prediabetes.
  3. Are diabetes and cholesterol related?
    Yes. If you have diabetes, chances are you have high levels of LDL or bad cholesterol.
  4. How can diabetics lower their cholesterol?
    Eating healthy fats, reducing added sugar intake, consuming more vegetables and whole, nutritious foods can help people with diabetes lower their cholesterol.
  5. Can diabetes cause high cholesterol?
    The American Heart Association (AHA) states that diabetes often lowers HDL (good) cholesterol levels and raises triglyceride and LDL (bad) cholesterol levels.
  6. What is a normal cholesterol level for a diabetic?
    Target LDL cholesterol levels for adults with diabetes are 40 mg/dl (1.02 mmol/l); and triglyceride levels are
  7. What are the first signs of diabetes?
    The first signs of diabetes are frequent urination, increased thirst, fatigue, blurred vision, delayed healing of cuts and wounds, and frequent hunger.

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