I would be eating as much cheese and meat, poultry and regular fats as I wanted. None of those foods will spike your blood sugar. Enjoy mayo and sour cream, and if you like cottage cheese, it has 5 grams of carbs per 1/2 cup at 4% milkfat.Since so many diabetic diet recommendations are based on both blood glucose management and attempts at weight loss (or, at least, maintaining one's weight), how should a significantly underweight diabetic go about gaining body fat while at the same time managing blood glucose? I'm guessing that the underweight diabetic attempting to restore a healthy store of body fat should have about the same diet as an other diabetic but should indulge much more freely in lean meats as well as healthy sources of fat such as EVOO, nuts, and avocados. In any case, how should a newly diagnosed underweight diabetic go about gaining back a healthy amount of body fat? Thanks.