This objection from one Dietitian (Dietitians Weigh in on the Low Carb/Ketogenic Diet) is particularly ironic:
there is the possibility of low blood sugar, or hypoglycemia, from restricting carbs too much
There are people who afraid of low blood sugar but diabetics aren’t at risk for this. However, a diabetic who is on medication will require adjustment in their medications to lower them as their blood sugar goes down on the keto diet. But remember the definition of diabetes is high blood sugars…
Incredible the scare tactics being used here.
Don’t do keto because your high blood sugar won’t be high anymore.
Don’t these dietitians consider the alternatives? In spite of being on 100 units of Insulin and even being relatively lower carb (under 200 grams of carbs a day) I had horrible control of my blood sugar with numbers ranging all over the place.
With low carb/keto my blood sugar is very steady and constant. Plus being keto fuel fired my blood sugar can get even lower and it isn’t a problem. Remember these curves?
Blood sugar drops and stabilizes in the case of starvation. Eating low carb doesn’t drop blood sugar farther than starvation would.
I would suggest that dietitians develop some sense of compassion and put themselves into the shoes of diabetics who don’t have good control of their blood sugar and help them adjust meds over the week or so of induction.