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That's the best way. we now know that most patients at the time of diagnosis of type 2 diabetes have lost 50% of their pancreatic islet cells. These are the ones that make insulin. So type 2 isnt necessarily just a weight or diet issue. If you dont produce enough insulin when eating, you are always at a disadvantage at lowering sugars enough. This is why we have thin patients who eat well who still need medications. So we dont put anyone down who cant get good sugar control with just diet. I have a patient who cant get his A1c under 7 on his own without eating less than 800 calories a day which is basically a starvation diet. He wasnt fully type 1 (no insulin) but still needed some insulin.I went the diet/weight loss route. By eating a really low glycemic diet, I've been able to lose weight and my fasting glucose is in the "normal" range. I'm not getting any spikes because I'm not eating foods that would cause that. I'm not sure if I will ever become more sensitive to insulin, but I'm not hungry all of the time, so that's a good sign.
every person is different, basically.