Carbohydrate restriction will only go so far. If you are in your 40's, 50's, or 60's, you can't go on living on low carb food if you are really active. I can't.
There is a reasonable alternative to the American diabetes diet. It's the diet and lifestyle. This is a "wholistic" approach to stemming the cause of type 2 diabetes. All other measures are costly temporary fixes at best.
Here is a link that might be useful: http://www.************************
Stemgevity has been useful for people who have a diabetic condition. Not sure if it has proven results for hepatitis, but from the info I see there is no reason why not.
I'm a little late so I hope you ate something. I would have said, eat the sandwich and leave the pizza for the next day. And never inject rapid acting insulin until your food is right in front of you.
Co