Medical cautions

Important caution for people with diabetes, high blood pressure, swollen ankles, or expecting a baby. Please read all of it.

If you are taking medicine for diabetes, high blood pressure, or swollen ankles, it is important for you to know that reducing the amount of starchy carbohydrates you eat will lower your blood sugar and blood pressure, and alter your water balance. This may reduce the amount of sugar-lowering, blood-pressure-lowering, or water-excretion medicine you need.

If you stop having starchy foods and sugary drinks, but continue taking the same amount of medicine your doctor gave you before you started your dietary changes, your blood sugar, blood pressure, or water may go too low.

Your doctor will want to keep a close check on your blood sugar level, your blood pressure, and your water retention after you start your low-carb, healthy-fat lifestyle, because your medicine may need to be reduced as your condition improves.

Only your doctor can make the correct medicine adjustments, so it’s very important to let your doctor know about your planned new food choices, before you start. This caveat applies to anyone taking prescription medicines for any reason.

Although it’s good to reduce medicines, never fiddle with your dose of medicine yourself. Always discuss it with your doctor, and let your doctor make any changes necessary.


Please do not embark on a low carbohydrate diet if you are pregnant, or trying to get pregnant. Wait until after baby has arrived, and then make dietary changes in consultation with your physician.

Information only

Please note everything I have written on this website, while I hope it will be informative and helpful, must not be construed as medical advice, treatment, or prescription, and is in no way a substitute for consultation with your healthcare provider.