Just posting an update: after several more days (occasionally contentious) of further reading, discussion, and video-watching, she got on board with a full keto program. She was still suspicious and doubtful, though, so we visited her doctor, who does not generally approve of the ketogenic approach but, based on the bloodwork, gave a cautious green light to try it for three months, as long as we consult with a naturopath. We found one who has been doing keto for three years and is knowledgeable and sympathetic.
For a week now, she's kept to a 20g carb-limit and 130g fat quota (to avoid losing any more weight). She's in moderate ketosis at this time. This has upended a lifetime of eating habits, to be sure, and we've had some difficult days, emotionally.
The GP said they were open to having their mind changed about the diet if all the test results improve. This looks promising, as she is already off all diabetes meds and sleeping better, feeling better, and is more energetic overall. We are now walking for an hour daily, when before she barely wanted to get out of bed. We have an order to re-do all the blood and urine tests in mid-January. I'm feeling very optimistic. More importantly: for the first time in a long time, she has shown optimism, and we are planning a short road trip with easy scenic walks for the spring.
PS: I am doing the diet alongside her, and I am now in full ketosis myself.