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In particular, insulin doses may need to be lowered to avoid low blood sugar, and SGLT2 inhibitors may need to be deprescribed see below. However, we also want you to discuss any changes in medication and relevant lifestyle changes with your doctor before making any changes. Full disclaimer So you have diabetes and want to try eating low carb or keto? Good for you! Making these dietary changes has the potential to reverse type 2 diabetes. Or, if you have type 1 diabetes, doing so could dramatically improve your blood sugar control. Once you start eating low carb you will likely have to lower your insulin doses as well as some other diabetes medications, frequently by quite a lot.