I've not been on here for a while and apologies for hijacking this thread, but my query is similar to the OP. Apologies for the long post too!
My partner had a very similar experience to
@Jim Lahey when they rapidly got their HBA1C down from over 100 to 41 in 6 months. Almost 4 years since T2 diagnosis and still receiving regular anti-vegf treatment for Macular Odema and two rounds of treatment laser in one eye. It's been tough ride and managing mental health has proved challenging. We've remained low carb but over the couple of years monitoring stopped and exercise came to a halt. I finally persuaded them to get their HBA1C checked (they kept ignoring the GP's reminders due to poor MH, much to my frustration) and it's crept back up just into diabetic levels (51). LDL and Triglycerides also up, so some pressure to consider statins, but we're resisting that for now (particularly as it was a non fasting test). We're laying off the cheese and upping healthy fats again.
We are planning to get things under control quickly with a plan be stricter keto (there has been a little carb creep I suspect), more exercise and trying to lose a little weight (they are top of healthy bmi, but put on half stone over past couple of years). My concern is about the impact of our plan on the DME and retinopathy. We will discuss with the consultant later on this month, but wondered if anyone could advise? Would bringing HBA1C down by 10 in a few months potentially make things worse or is it more a case of drastic changes like we had early on.
@Dark Horse you were a great help previously, so interested to know your thoughts.