My endocrinologist a few weeks after putting me on insulin in Feb 2018 told me that measuring carbs was a waste of my time and would not achieve anything.
A couple of months later a dietitian at the diabetic clinic gave me more information about the glycemic index, insisting that I should mainly eat crabs with a low index and provided a list of the GI values for different foods.
A couple of months later this site was recommended and after a little look around I started myself on a low carb diet. I kept a close check on my carbs and gradually reduced them to about 50 gms a day, totally ignoring the GI. I was able to gradually reduce my insulin down to 0 units 6 months later.
In January I was able to start using the Freestyle Libre and with a interstitial glucose check every 15 minutes I get a very detailed picture of the effects of different foods and I can plan my diet and meals as necessary.
I have now lost about 45 lbs and 8 inches of my weight. Not sure if this is metabolically accurate but I have certainly lost a lot of fat from around my liver and I believe this is where the liver gets fats to create glucogens when the pancreas stimulates the liver with glucagons (I may have glucogens and glucagons reversed). I believe this is how I work because as I have lost weight, the increase on bg levels as I wake up, the dawn phenomenon, has got less and less. I have also seen that when I have a day with higher calories my body works normally and converts the unused into fat and my bg levels are higher on waking for the next few days.
I also thing that the decrease in abdominal fat has helped to improve the working of my pancreas. If bg goes low I follow the recommendations and have a small amount of a fast acting glucose producer (sherbet lemons!) and my bg goes up very fast and comes down even faster to below the previous low point so now I have to make sure to keep my bg as level as possible (advice from this forum).
My A1cs have gradually reduced over the last 18 months down to below 6.5% and my target is below 6.0%. My next A1c test is due for late January, no longer quarterly, and my goal is to get my last diabetic medication, Metformin, reduced or stopped.
The moral of this tale is to cut the carbs, check the effect of different carbs on you (we are all different) by testing before meals and at least 2 times after a meal, adjust your diet as necessary, lose weight and lots of exercise. Weight lifting is best for me as it helps to force glucose into the muscles.
Finally ask questions, provide information and help each other on this forum - better than a conference of endocrinologists or a dinner plate of dietitians.