Short answer: many health care providers don't attempt to control it. Reading medical literature from the early 20th century, it looks like doctors of that era fought diabetes with everything they had: low carb diet, urine testing for diabetics, a hospital stay with a strict diet if there was sugar in their urine, and yearly testing of family members of diabetics. Insulin started being used in the early 1920s. Now? Some health care providers call a low-carb (diabetic) diet "old dogma" and don't counsel patients on diet or blood glucose testing. This was the case with a friend of the family, who was recently diagnosed, and my parents. While my mother was in the hospital recently, she was allowed to order any breakfast from what was basically a dessert menu: cinnamon rolls, cereal, juice, bread, waffles, french toast, pancakes, fruit, etc. Hopefully, patients who want to control their blood sugar aren't allergic to eggs, the only LC option for breakfast. Some
Do-it-yourself health. Low-carb, mostly evolutionary.