The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
now of course the whole equation is different when your insulin resistant and if that is the case you want to change that very swiftly but as I mentioned jokingly in this podcast diabetes is not contagious and it is not an infectious disease and you can definitely modify your insulin sensitivity with the big lever of food and the big lever of lifestyle
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So yes, if you give a diabetic a food that contains a carbohydrate like sugar, their blood sugar will go up, but their insulin sensitivity, which is the real problem in diabetes, improves. And I'm not necessarily advocating for 125 grams of sugar, don't be drinking honey in a diabetic. But like look, the the goal in diabetes is to improve insulin resistance.
the object is to increase your insulin sensitivity and the only way to do that is by diet not even by exercise alone you can't outrun a bad diet you have to fix the insulin problem and exercise won't fix the insulin problem by itself
I would say that the goal should be to increase insulin sensitivity which will result in a reduction in blood glucose