I agree that something is wrong if someone gets to the point of diabetes without encountering the idea of cutting carbs from their diet. Once you get there, it

I agree that something is wrong if someone gets to the point of diabetes without encountering the idea of cutting carbs from their diet. Once you get there, it is a tougher decision than that. Then you have to decide to prescribe insulin or advocate for a low carb treatment that very few patients succeed at. That said, I'm for presenting the options, and their tradeoffs, even if it means worse outcomes for patients on average. Medicine should not take away agency or informed consent, even if it produces better outcomes.