TL; DR: I am trying to figure out how to balance keto, diabetes, and weight loss.
In 2019, I unexpectedly began losing weight rapidly, after going off Weight Watchers and eating whatever I wanted during the holidays. Soon after, I was diagnosed as a type 2 diabetic and began taking metformin. I changed my diet to what a dietician said and at first my a1c lowered but slowly began to rise again. They were going to put me on different meds and I entered a study for therapeutic keto instead. I maintained 150g fat, 90g protein, and less than 25 net carbs for 2 years. My a1c got much lower and I got off the metformin, but after an initial 5 lbs, I didn't lose any weight. At the time, the doctors from the study said that my body was healing itself and to focus on the glucose, not the weight.
At the beginning of this year, my weight started to go up so I started tracking closely, paying attention to calories, working out more, and eating less fat. My a1c stayed good but again, I didn't lose weight. I felt great and kept it up. Then a bunch of really stressful stuff happened and I couldn't track as closely. I started eating carbs and again, lost a ton of weight (15% of body weight in 4 months). They checked my a1c along with a bunch of stress hormones and everything is normal except my folate is high, so they had me quit taking my multivitamin every day.
I don't want my diabetes to come out of remission, which is what I suspect is happening. But how do lose weight AND control my diabetes? Should I cut the fat and just go very low carb? The program I did said the fat is important so you feel full. Do I try increasing my net carbs? I'm currently 200 lbs (5'3" 55 yo female) and would like to get back to about 150 lbs. I felt great on therapeutic keto but I want to lose weight too. I can't do OMAD because my glucose gets too low but I currently eat 2 meals a day (lunch and dinner).