Ketones may drive down glucose levels by inducing insulin release, which signals the liver to lower glucose production, acting as a checkpoint mechanism against ketoacidosis.

“one could be an exogenous ketone induced release and insulin that facilitates glucose disposal so that happens you do get I mean it's not like consuming a protein bolus or a carbohydrate bolus but you do get an elevation of ketones that's right that's how we moderate our ketone levels right so as our ketone levels if we're on the ketogenic diet and our ketones become elevated there's ketonuria we pee out some ketones and there's a number of but one is a ketone induced release of insulin which then feeds back on the liver to like a rheostat really and and lowering bit oxygen which totally makes sense because that's the reason that's one key to type one diabetes can get ketoacidosis they they lose the checkpoint”