All this goes to show you is that there's more to life than spending your entire time worrying about complications. I think it comes down to minimizing risk, rather than eliminating completely. We know that minimizing risk is keeping Hba1C levels below 6,5. No that won't eliminate completely, but you are much less likely to get them. You personally have to weight the risks off against each other.
One might also argue that complications aren't really "Diabetic Complications", they are simply issues that anyone could get, it's just that Diabetics are more likely to as a result of elevated blood glucose levels. Genetics will also play a large part in susceptibility. If your family already has a genetic predisposition to CVD, no amount of having a normal glucose level will eliminate it, just reduce the risk.
And even with his marvellous techniques, and approach, I don't see how it's possible to use any of the basal insulins and avoid dawn or getting up phenomenon. Low carbing helps, but doesn't eliminate it. Doing proper high intensity training is also not really that easy under his regime, as keeping your bg low can be really tough.
So while I applaud his excellent approach that has kept him going for so long, I struggle with it, because it doesn't always fit what I want to do, and if I'm going to live my life, I'd rather enjoy it than worry about it lasting forever. So I'll take the <6.5% relative risk over the 4.5% minimal risk.
