the American Diabetes Association

LOL.

First off, the ADA's advice on diabetes is complete shit. They're one of the main causes of it being a problem. Go bring them up on /r/keto some time and you'll get an earful about those scumbags. The ADA's advice is to keep doubling dosages and chowing down on more sugary foods until you go blind, your feet rot off, and your kidneys fail and you die -- it's a "progressive" disease that inevitably leads to your death, don'cha know -- but definitely don't ever consider just restricting sugar intake and thus at least reducing dependence on insulin, or for type 2's perhaps even not needing insulin or any medical treatment for diabetes at all any longer.

Second off, they're not a pharmaceutical manufacturer and becoming one is not something that happens without major investment. And if you have to make that kind of investment just to get started, you're going to need to make back that money somehow. And then there are all the different variations on insulin -- long-acting, short-acting, who knows what all else, I never had to learn those details fortunately.

I got diagnosed as a type 2 three and a half years ago. I was told that I would be dependent on insulin for life, had to beg to try just doing pills (another medication I was on made me bleed profusely whenever I got blood drawn, so daily injections were not something I wanted to try doing), the quack reluctantly said I could try it, and I was handed a diet plan telling me to eat TWELVE SERVINGS of carbohydrates per day or else the drugs would definitely cause me to go into a hypoglycemic coma (yes, LOW blood sugar) and die.

I read this stupid garbage, said "What the FUCK?!" and took just one of the drugs (metformin) and stopped eating ANY avoidable carbohydrates -- can't get away from them completely, even eggs have 0.6g of carbs per egg, but otherwise a strict keto diet. Five months later I didn't need the metformin. Seven months later I went to the quack again for a followup and was told my A1C was 5.7. Last year I went to a different doc who didn't believe me when I told him I'd been diagnosed as a diabetic, said my A1C was 5.3, and I had "no sign of diabetes". This was despite my having started to cheat like a bastard, constantly. I really should stop before I fall off the diabetes cliff again. . . .

Anyway, for type 2's, keto WORKS. If you catch it early enough, it can even reverse things sufficiently that you can lead a normal life. If you start keto after years of diabetes, you probably won't be able to reverse it, but at least you can reduce your dependence on medication and won't have to deal with the ADA's "progressive disease" bullshit.