INS and Hypoglycemia: There are few trials on the effects of coconut oil on glucose homeostasis but no case reports prior to the current one.<h4>Case</h4>We present a case of a 66-year-old man with a history of type 2 diabetes managed with insulin who developed recurrent hypoglycemia and required reduction in insulin therapy quickly after consuming coconut oil supplementation.<h4>Conclusion</h4>This is the first known case report of coconut oil supplementation in a diabetic patient on insulin resulting in hypoglycemia.