I really don't see how telling a newly dx'd T1 that, within reason, they can live a relatively unrestricted life counts as bad advice.
Here's just one research link posted
on this very site supporting the assertion that low carbing reduces hypos (which can be deadly, as we all know, not to mention extremely awful things to endure unnecessarily):
http://www.diabetes.co.uk/news/2017...-more-stable-blood-sugar-levels-96690294.html
"The
low-carb diet resulted in reduced time with both high and low blood glucose levels and
more time within the normal range, compared to the high-carb diet.
The fact that participants on low-carb spent less time with low blood sugar levels indicates that it is a
safer way of eating, limiting the incidence of hypoglycemic events. "
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The idea that one can just "take the right amount of insulin to match any amount of carbs" assumes:
-that the person knows
exactly the number of carbs and fiber and sugar in every single ingredient of every meal they eat (
false),
-the exact additional effect of fats and proteins on their sugars (
false)
-the insulin-to-carb ratio is a known, fixed value, i.e. constant throughout the day (
false, it can vary significantly, especially during exercise, each unit of insulin can become 6X more effective during exercise. meaning if you took the non-exercise amount of total insulin for a large, carb-heavy meal and then exercise
you are going to crash),
-that insulin can act fast enough to guarantee no excursions even in the best circumstances (this is known as the Phase I response) (
false)
-insulin then disappears from the blood stream once it's no longer needed to cover that meal. (
false)
-that people don't OD on insulin to make it work faster when they have super high sugars after meals due to aforementioned "go ahead and eat all the pasta and bread and rice that you want" advice (
false). This is known as "rage bolusing"
-that a "good" HbA1C value constitutes "good control". (
false) No,
control is when one has achieved a low blood sugar
variance, not mean. Wild swings due to ingesting large amounts of carbs and appropriate insulin inevitably result in larger variance, thus poorer control. It's basic math. Like, grade-school level math. If you want a low average, in the presence of high variance, you are going to have a lot of dangerous lows to average out those highs. There is
no way around this, unless one rewrote the laws of algebra.