The current ADA diet is just over the top in carbs. I started on the one from the 1970s and it was reasonable at that time. I had lots of fat and meat exchanges and used only 1 starch exchange per meal. When I was put on MDI in the early 80s, my doctor advocated 2% milk for hypos instead of juice. Sugar was not allowed at all. I was very motivated and really tried to stick with it. I don't think a lot of people are, I'm sorry to say.