Strictly limiting carbohydrates can lead to a 'honeymoon period' followed by a progression to diabetes and the need for medication.

“I've never seen anybody improve on a strict car like a very severe car limiting diet eventually they call it like the honeymoon period the doctor tells them listen I'm going to put you in a low carb diet but guess what in five years you will be diabetic right now you're pre-diabetic but in five years I'll see you here in my office and I'll give him informant right or whatever or one of the newer ones that are you know uh what are they called the the GOP antagonist yeah some of the newer drugs right and yeah and usually that's how it turns out”