 In western countries 80 of patients with ischemic heart disease IHD are overweight BMI 25. Weight loss using a low energy diet LED, 800 - 1000 kcalday has been shown to induce a considerable weight loss in obese but otherwise healthy patients and to reduce the risk of cardiovascular disease and diabetes in these subjects. Additionally, a British study using a very low energy diet VLED, 600 kcalday to obtain weight loss, has shown that subject with diagnosed type 2 diabetes had their blood glucose normalized after an 8 week VLED. However, the effect of LED has never been examined in overweight patients with IHD. 