Withdrawal from sugar can cause lots of symptoms, as can a change to low carb. There is an adaptation period. If your husband is lowering his carbs a lot, and doing a lot of physical labour, I'm not surprised he has a fuzzy head. I certainly had one when I started LC, without any drugs or physical labour. If he can take it easy for a few days, that would help. It will pass if his diet change is the reason. Also, many people have to lower their metformin when they lower their carbs, because their blood glucose will go down, sometimes quite quickly.