Please let me offer a different approach to diabetes eating. Both my grandmothers were type 2 diabetics, one was insulin dependent while they other was not. My mother was an insulin dependent type 2 diabetic. I have been a non-insulin dependent type 2 diabetic since 2007. I currently use extended release Synjardy which is a combination of empagliflozin and metformin HCl. You are an Rx guy, so that brand name should ring a bell. It is a combination of metformin and the brand name drug Jardiance. I do not believe that type 2 diabetes runs in families. What I believe is that metabolic syndrome runs in families and metabolic syndrome sets one up for diabetes. I was pre-diabetic for years. I ignored the fact that I was insulin resistance runs in families. I did not even accept things when I was told that I was a full-blown diabetic. It was not until I ran a 13.1 hbA1C in 2010 that I accepted the fact that things had to change. I have tried a lot of diets, but the one that sticks and works the best is a flexitarian diet based on whole foods. The ADA diet just makes one dependent on a progressive drug regime. I took my hbA1C down from 6.7 to 5.4 on a flexitarian diet. As you are aware, an hbA1C of 5.4 is not considered to be diabetic, but I was taking orals at that point in time. I follow advice from Dr. Joel Furhman. Sure, he has a vegan bent. There is no denying that reality, but he is onto something. It is not how much starch you take in as a diabetic. It is how much fiber you take in to offset the starch that you are consuming. Human beings are not carnivores. We are omnivores. What the average American eats today is not what our metabolic was selected for pressure. The Keto diet is a Ban-Aid. We are not carnivores. It tries to fix the problem that all our starch sources used to involve the ingestion of fiber. Fiber slows the digestion of sugar and starch, as we know it as brewers, is an intermediate form of starch. By doing so, fiber regulates blood glucose.
i used to eat a lot more meat than i do now, and was getting gout in one foot's toe joint.
i agree wholeheartedly with your notion of "whole foods".
i had serious weight/health problems from age 12 to 19 because of the ubiquity of corn syrup and nearly free sugar foods/junk foods at that time in the late 90s/early 2000s. i tried various stuff, but i would say i have no issues and cant imagine having any issues again until old age from essentially-sufficient serious exercise
-cooking traditional style meals (whole foods) from scratch 80% of the time
-do not eat desserts/high sugar snacks at all
i know no one wants to hear the specifics or any further thoughts, but if you were born in north america from 1960 to ~2000 you are a victim of industrial food. don't eat industrial food.
i really wish all of you the best health.