For over 30 year of living with my Dad's T2D condition, we simply tried to follow the general recommendations and accepted that the condition is chronic and progressive. The roller coaster glucose level, regular stenting of clogged arteries, progressive kidney failure, weakening memory, changing personality, toe amputation...
But when I started on my own T2D journey...it seems to be remarkably different. The wealth of freely available low carb knowledge helped to normalize gluocse/insulin levels within days.
The fact that many T2D has a carbs/insulin responses that can be several times above normal means that it makes sense to dramatically reduce carbs. That allows a more normal level of glucose and insulin, resulting in an environment that is more conducive for burning body fats.