I was diagnosed with type II last December with an A1c of 6.5 and a FBG of 133. My doctor prescribed metformin (2 x 500 mg). He did not seem excited about either diet or exercise (I suspect he does not believe that in either, because he thinks that most patients don't really follow through for the long run). My diagnosis came as a shock.
For the last 7 years I had been on a heart healthy low fat diet along with the usual dose of statin, beta blocker, and aspirin. For 5 years I was also on plavix and niaspan. So what happened?
After I came home from the doctor's office I knew very little. I had heard that a low glycimic diet was a good choice for people with diabetes. So with my new meter I ate 1/2 of an apple and watched my BG spike to over 200 mg/dl. Well that did not look so promising. Next I had also heard that Atkins induction diet could help to control BG, so I started it (to my wife's objection) and continued to investigate. Shortly there after I found blood sugar 101 and then Dr Bernstein.
I am still learning. What I have learned makes me angry. First, that so called 'heart healthy' diet and prescriptions that I was given after the stents were inserted in 2007 likely contributed to my diagnosis of type II. Second, the ADA is not my friend. And third if you want good advice you are mostly on our own. However, the various diabetes forums are good places to start. You still will likely get conflicting advice, but hopefully with enough rational for you to make your personal decisions. There are also quite a few books that are useful. I recommend Dr Bernstein's Diabetes Solution because he has a lot of practical advice.
I am now continuing with a very low carb, moderate protein, high fat diet. My last A1c was 4.9 and my FBG is in the 70's mg/dl. I try to keep my postprandial readings under 110 mg/dl and would like them under 100 mg/dl. My target A1c is 4.2 to 4.6. I now eat to my meter and am not really following any diet, but I have learned a lot from a variety of diets.
I will say it was a shock at first to eat very low carb since it meant no grains, no cereals, no breads, no potatoes, no fruits, no sugars, ..., but I was quite motivated. Now that the shock has worn off, I am reasonably satisfied with my meals. I am not hungry and have lost 30 lbs over the last 6 months. I don't even really measure or count carbs now that I have a list of safe meals. I continue to be motivated and I know that I can continue this from here on out. And I have my fingers crossed that I can keep the complications away.