I think your story is more typical than not. Sure matches my experience anyway, this bit especially:
That's why I refer to R/NPH as the Eat Now Or Die regimen, and why basal-bolus MDI was so liberating for me.
Thing is, the endo's are going to have a certain amount of wiggle room, but they can't go wandering away from standard guidelines without opening themselves to all kinds of potential repercussions. The problem is that the standard guidelines don't fit what a lot of us experience. A LOT of us have come to realize that low-carb is beneficial on a lot of levels. I think some endo's realize that--mine clearly do--but if you put them in a position where they have to give an Official Response, then the Official Response is what you'll get. But both my previous one and the one I just switched to due to changing insurance carriers ("out of network"--arrrgh!) have been quite reasonable as long as I don't push too hard about it. I just had a meeting with my new one and she noticed that my basal-to-bolus ratio is nothing like the recommended 50-50, more like 80-20. She said the usual thing about the standard being half-and-half but she understands not everyone does that. I said something to the effect that "I do keep the carbs down" and she finished my sentence for me: "Because it's just a lot simpler that way, right?" "Simpler" meaning yeah, I just don't end up riding the roller coaster so much, I replied. She agreed it was a totally understandable choice, and since my numbers are all fine she just left it at that.