Professor Roy Taylor's ReTUNE study (recently published) shows all 'normal' T2Ds need to lose weight regardless of BMI. Accumulation of excess fat in the liver and pancreas makes the liver insulin resistant and reduces insulin secretion by the pancreas, a double whammy. Waist measurement is a good indicator and an ultrasound scan will detect a fatty liver. After mine the radiologist said, 'You have a fatty liver, treat it with diet'.This makes sense to me if you need to lose weight.
However, the OP mentioned that they "can't afford to lose weight" so does not have the "energy stores" you mention.
I did and got my BMI down to the low 20s on a 16:8 2 meal/day low carb regime. I am continuing with that for weight maintenance. I am following the rules of the Harcombe Diet now. They are the opposite of eat when you are hungry: have no more than three regular meals a day, eat enough nutritious real food to feel full and, in general, do not eat carbs and fat in the same meal.
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