The pathological changes associated with type 2 diabetes (T2D) can be reversed through lifestyle measures, in some cases leading to remission. 1 The low carbohydrate diet (LCD) is recognised as an effective option that is clinically inexpensive with few side effects. 2 Many patients are achieving significant improvements in glycaemic control, with associated reduction in drug costs from cessation of hypoglycaemic agents. 3 Digitaltechnology behaviour change solutions for T2D remission are being delivered at scale. 4 Primary care clinicians need to be competent to adjust diabetes medications appropriately in individuals who follow an LCD.