I eat low carb (but not keto as I get frequent lows) with a continuous glucose monitor and keep all my levels between 3.9mmol/L-7.8mmol/L. Above that range is when the damage starts.
It doesn't have to be high fat, you could do high fiber? Lots of water too.
It's also important to consider the type of carb (low glycemic index/load) and not just the amount. 5g of pot barley and 5g of white rice hit different.

Hi my right eating lifestyle is a ultralow net carb, 5 carbs per meal, @A DiabetesTeam Member.
I eat to my blood glucose meter, my blood glucose numbers spreadsheet, and my food journal. I fingerstick 7-8 times a day on average.

That means I can basically eat no traditional carbs. I get my carbs from very low carb vegetables. Also small portions of diabetes friendly fruit. Or very occasionally, a tablespoon of bread, or potatoes, or rice, or pasta.

I was undiagnosed for at least 12 years, according to my symptoms history, previously to being diagnosed with diabetes in February 2021, A1C 13.5. That means that the previous 90 days my average blood glucose number was 18.9(341 USA). So my diabetes was quite advanced.

The peripheral neuropathy was excruciating for 9 months before being diagnosed with diabetes, and for the next 5 months.

Before being diagnosed with diabetes I was doing 13 daily maintenance prescription medications. Within 16 months of my ultralow net carb right eating lifestyle, I am down to 3, plus my albuterol rescue inhaler.

My diabetes diagnosis and what I have done in response to it has saved my life. I had 2 heart surgeries in 2021. I went to 99 doctors appointments out of the 101 scheduled In 2022. I moved 2 December appointments to January 2022 so I could have the moral victory of less than 100 appointments.

In 2022 I had 9 doctors appointments. In 2023 I had 10 doctors appointments. Because I added my 3rd oncologist for continued cancer treatments. I am now on my 9th prostate cancer treatment, it keeps metastisizing.

I also added a podiatrist, who gave me dirty looks for wearing flip flops, after I told him I was diagnosed with diabetes in February 2021, with a A1C of 13.5. And severe peripheral neuropathy for 9 months, that subsided after 5 more months of my ultralow net carb right eating lifestyle.

He said I needed diabetic shoes all the time. I said test the circulation in my feet. After stabbing all over my toes and feet, he confirmed I have no capillary damage and told me that was impossible if I had peripheral neuropathy for more than a year.

I told him I don't follow the CDC guidelines or the American Diabetes Association guidelines. I maintain my numbers in the normal nondiabetic range of 4.0(72) to 7.8(140) instead for best diabetes outcomes.

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A Diabete...

Thank you for your input, I do high fiber for my IBS

I was asking because my insurance covered a diabetes program for its members, but I spoke to my primary, endo and cardiologist today and they said no..I'm in chronic heart failure and the high fat of keto would be detrimental to my condition. I'm doing low carbs and no added sugars, eating clean and lost 6 lbs in 7 days..I'm actually sleeping better and feeling better!!