Why is My Blood Sugar Higher on a Low-Carb Diet?

23 Aug 2025

Why is My Blood Sugar Higher on a Low-Carb Diet? When adopting a low-carb diet, it's common to experience fluctuations in blood sugar levels. For some...

Why is My Blood Sugar Higher on a Low-Carb Diet?

When adopting a low-carb diet, it's common to experience fluctuations in blood sugar levels. For some, this may manifest as high blood sugar readings, even if they've made significant changes to their diet. Several factors could contribute to this outcome, and understanding these can help you better manage your metabolic health.

Understanding the Impact of Diet on Blood Sugar

Related reading: A Bayesian Approach To Interpreting An Ambiguous Blood Sugar Reading

A low-carb diet is designed to reduce the body's reliance on glucose from carbohydrates for energy. This can lead to a decrease in blood sugar spikes and an overall reduction in insulin resistance. However, the process of transitioning to a low-carb diet can be challenging, and it may take some time for the body to adjust.

Common Reasons for High Blood Sugar on a Low-Carb Diet

  1. Inadequate Fat Intake: While reducing carbohydrates is key on a low-carb diet, it's equally important to ensure adequate fat intake. Fats are essential for maintaining energy levels and can help regulate blood sugar. If fat intake is too low, the body may turn to stored glucose for energy, leading to higher blood sugar readings.

  2. Protein Intake: Protein is another critical component of a low-carb diet. Consuming too little protein can cause the body to break down muscle mass for energy, leading to increased glucose release into the bloodstream.

  3. Hidden Carbohydrates: Many foods, even those labeled as low-carb, can contain hidden carbohydrates. Being aware of these sources and ensuring you're meeting your daily carb needs can help stabilize blood sugar.

  4. Dietary Fiber Intake: Adequate fiber intake can help slow down the digestion of carbohydrates, reducing blood sugar spikes. However, if fiber intake is too low, this can have the opposite effect.

  5. Stress and Cortisol: Stress can significantly impact blood sugar levels. When the body is under stress, cortisol levels increase, which can lead to insulin resistance and higher blood sugar.

  6. Sleep Quality: Poor sleep can disrupt the body's ability to regulate blood sugar. Aim for 7-9 hours of sleep per night to help maintain stable blood sugar levels.

    Related reading: Blood Sugar Vs Blood Glucose Understanding The Key Differences

  7. Hydration: Even mild dehydration can cause a spike in blood sugar levels. Make sure to drink plenty of water throughout the day.

  8. Medications: Certain medications, such as steroids and some antidepressants, can increase blood sugar levels. If you're taking any medications, discuss their impact on your blood sugar with your doctor.

  9. Underlying Medical Conditions: Certain conditions, such as polycystic ovary syndrome (PCOS), Cushing's syndrome, and pancreatitis, can cause high blood sugar levels. If you have an underlying condition, managing it effectively can help regulate blood sugar.

  10. Lack of Physical Activity: Regular physical activity is essential for maintaining blood sugar control. A sedentary lifestyle can lead to insulin resistance and higher blood sugar.

  11. Hormonal Imbalance: Hormonal imbalances, such as those caused by thyroid disorders, can affect blood sugar regulation.

  12. Related reading: The Surprising Dangers Of High Blood Sugar Hyperglycemia

    Genetic Predisposition: For some, a low-carb diet may not be as effective due to genetic factors. Certain genetic variants can affect how the body processes glucose and respond to dietary changes.

Strategies for Improving Blood Sugar on a Low-Carb Diet

  • Consult with a Healthcare Professional: If you're experiencing high blood sugar on a low-carb diet, consult with a healthcare professional to rule out any underlying conditions that may be contributing to this outcome.

  • Ensure Adequate Fat and Protein Intake: Make sure you're meeting your daily fat and protein needs to help regulate blood sugar.

  • Be Aware of Hidden Carbohydrates: Be mindful of foods that may contain hidden carbohydrates and ensure you're meeting your daily carb needs.

  • Adequate Dietary Fiber Intake: Ensure you're consuming enough dietary fiber to help slow down carbohydrate digestion and reduce blood sugar spikes.

  • Manage Stress: Engage in stress-reducing activities, such as meditation or yoga, to help manage cortisol levels.

  • Improve Sleep Quality: Prioritize getting 7-9 hours of sleep per night to help regulate blood sugar levels.

  • Stay Hydrated: Drink plenty of water throughout the day to avoid dehydration.

  • Review Medications: If you're taking medications, discuss their impact on your blood sugar with your doctor.

  • Manage Underlying Conditions: If you have an underlying condition, managing it effectively can help regulate blood sugar.

  • Regular Physical Activity: Engage in regular physical activity to help maintain insulin sensitivity and blood sugar control.

  • Hormonal Balance: If you have a hormonal imbalance, managing it effectively can help regulate blood sugar.

  • Genetic Factors: If you have a genetic predisposition that affects glucose processing, consult with a healthcare professional to develop a personalized plan.

By understanding the factors that can contribute to high blood sugar on a low-carb diet and implementing strategies to improve them, you can better manage your metabolic health and achieve your health goals.