Ultimately it’s up to you. But if you want to keep eating the carbs you will end up on the medications and have a greater risk of complications. That’s why they call it progressive when you deal with it purely by medication. Medication slows the progression and makes blood glucose look more normal, but the underlying issue of insulin resistance just gets worse and worse. That sounds really harsh but ultimately the only way to achieve normal levels without medication is by making changes.
There are other options touted but low carb is by far the eating style with the most science and most anecdotal support for long term success. Yes it means changing the way you eat. How much have you read about it? Do you understand that all carbs raise blood glucose. So that’s all bread, grains, cereals, flour, rice, pasta, starchy veg like potatoes of all types and colours and parsnips, even legumes (beans and lentils etc). most fruit has a fair amount too. Berries being the most reasonable option. How much and hair fast bgl rises might vary a bit and how well you personally can tolerate (or consider acceptable) is ….personal. But controlling how much of these things we eat is the single biggest thing we can do to effect out outcomes.
If this is all news to you then have a read of these
Intro to T2 and low carb.
https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html
All the things I wish I’d been told earlier
https://www.diabetes.co.uk/forum/th...ish-i’d-been-told-at-type-2-diagnosis.173817/