I must control insulin to control a rare medical condition where insulin causes weakness or paralysis. I have done FINE with the reward meal--better than expected--but only if I've kept my carbs low earlier in the day.

I believe staying low carb for most of the day helps "repair" my insulin sensitivity. Then, when I have a slice of cake after dinner, my body is able to deal with it quickly and without much fuss.

My carb cravings are MUCH reduced since I stated with CAD.