Until his lifestyle changes and he recognizes that any intake of carbohydrates will cause his blood sugar to spike well there is nothing you can do. Even with insulin treatment, oral medication and proper exercise he needs to stop with the bad eating habits. I have Type II diabetes and although I try to take care of business by blood sugar spikes at times, not much and not high, but it spikes. I had a doctor explain it to me like this. "If you know of someone that decides to eat what they want, not take his/hers medication and not exercise.. you are committing suicide.....period."
At the end of the day does he care about his family? His life? His relationships? It could be that he might need to see a counselor to help with his mindset. Hard pill to swallow, but it starts in your head and heart. I do not know if he realizes how blood sugar that is out of check, can cause some major health issues including death, blindness, organ failure, amputations etc.
You probably know some of this, but it does not hurt to hear it again.
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