The next thing that you should focus on is insulin resistance. This is also known as starvation diabetes. When you introduce carbohydrates into the diet, hyperinsulinemia and blood sugar swings may occur. This is due to the change in the levels of enzymes in the body. The enzymes that are primarily affected are the ones that are involved in carbs or fats burning. Since the body was not fed with carbs, ending a ketogenic diet will also mean that the 'down regulation' will be changed. Staying on the ketogenic diet will keep your insulin needs in balance. Carbohydrates have always created problems for people with diabetes.