Since I am a type 2 diabetic, I did test and did not notice any spikes two hours after consuming a cocktail with low carb simple sugar in it. However, I would only use this in moderation and you should always check your blood sugars to see how it affects you. I use a Fora 6 Connect glucose monitor to check my blood sugars, visit the link for 10% off or use IHACKEDDIABETES10 at check out.